HomeMy WebLinkAbout2626 Annelise Way - Permits/Sprinkler - 10/12/2006Community Planning & Environmental Services BUILDING PERMITPERMIT
rr Building & Inspections Division
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
citvofP Phone (970) 221-6760 Fax (970) 224-6134 ��
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ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 2626 ANNELISE WAY
PERMIT DATE
Building Permit w/o Subs
City Sales/Use Tax
County Sales/Use Tax
$15.00
$3. 0
$0. 0
10/12/06
10/12/06
10/12/06
PERMIT TYPE
co ReaideptW Sprinkler e
PERMIT LEVEL
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CATEGORY TYPE -
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Last Name, First, idd a nitial
CorT ruction Type
Occupancy Group
Addre " ING
City/State
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p No. of Stories
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Building Height
Zip
Phone No.
Building Square Footage Stock Plan/Options
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31
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_Z Right Side Setback
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NN Plat File No.
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w Lot
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Comori Name
Rear Setback
Left Side Setback
ZBA Case Number
Block Lot Area
Contractor License
Zoning District (See reverse side for Inspection Description)
Filing SPK
Parcel No.
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Roofing
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete -
License No.
SPRINKLER SYSTEM TO BE INSTALLED BY AUTUMN LANDSCAPING 3555 S SHERMAN ST #2 ,
ENGLEWOOD,CO 80113 303-794-6993 PROVIDE BACKFLOW DEVICE AND BACKFLOW TEST RESULTS TO BE
X INSTALLED BY BACKFLOW TECH, 608 GARRISON ST #L, LAKEWOOD,CO 80215, 303-986-4601
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As a condition for the issuance of a permit, 1 hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of
Date
TOTAL FEES