HomeMy WebLinkAbout2744 Annelise Way - Permits/Sprinkler - 10/12/2006Community Planning & Environmental Services BUILD 1 N G PERMITPERMIT FEES
n Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
cscv°cF Phone (970) 221-6760 Fax (970) 224-6134
B06047 7 9 ACCOUNT FEE DATE PAID
JOB
SITE ADDRESS9744
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, , , E WAY
2 9
Building Permit w/o Sub
$15A
0 10/12
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
o i
City Sales/Use Tax
$3.
0 10112
Last Name, First, fiddle ninal
on3`iructi6n Type
Occupancy Group
County Sales/Use Tax
$0.
0 10/12
AddreA `
City/State
p No. of Stories
Building Height
Z
Z
AURORAU
O
Zip
Phone No.
Building Square Footage
Stock Plan/Options
Q
.
Front et ac
Rear Setback
J.
Z
Right Side Setback
Left Side Setback
Z
• •
(See reverse side for Inspection Description)
SPK
Plat File No.
ZBA Case Number
Zoning District
_
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
Mechanical
License No.
H
Roofing
License No.
Z
Framing
License No.
O
U
Plumbing
License No.
m
D
Concrete
License No.
SPRINKLER SYSTEM TO BE INSTALLED BY AUTUMN LANDSCAPING 3555 S SHERMAN ST 02.
ENGLEWOOD,CO 80113 303-794-6993 PROVIDE BACKFLOW DEVICE AND BACKFLOW TEST RESULTS TO BE
INSTALLED BY BACKFLOW TECH, 608 GARRISON ST #L, LAKEWOOD,CO 80215.303-986-4601
As a condition for the issuance of a permit, I 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.
Print name of owner/agent
Date I TOTAL FEES