HomeMy WebLinkAbout215 Cajetan St - Permits/Sprinkler - 11/03/2006Community Planning & Environmental Services
" Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134
OB SITE ADDRESS ,19 nA IGTAAI CT
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First, Middle Initial
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City/State
Phone No.
Rear Setback
Setback
Zoning
1 block I Lot Ar� I Parcel No.
Contractor License No.
BUILDING PERMITPERMIT FEE
Building Valuation
g0051 ACCOUNT FEE
PERMIT DATE
'' Building Permit W/o Sul s
LEVEL ISSU F I CATEGORY TYPE
! City Sales/Use Tax
Construction Type Occupancy Group
p No. of Stories Building Height County Sales/use Tax
OBuilding Square Footage St. -
(See reverse side for Inspection Description)
SPK
SPRINKLER SYTEM TO BE INSTALLED BY HIGH COUNTRY LANDSCAPING, 1714 REMINGTON ST, FORT
COLLINS, 80525, 581-8183
PROVIDE REQUIRED BACKFLOW PREVENTOR AND BACKFLOW TEST RESULTS
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.
I,Ce-a 3 -o6
Printme of"t owned ehtSi ature / / Date TOTAL FEES
$30 00 11/3/ E
$18 00 11/3/ E
$4.80 11/3i 16