HomeMy WebLinkAbout233 Cajetan St - Permits/Sprinkler - 11/03/2006Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
c;trofF 1 Phone (970) 221-6760 Fax (970) 224-6134 g060521 5V Ono an
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(See reverse side for Inspection Description)
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SPRINKLER SYTEM TO BE INSTALLED BY HIGH COUNTRY LANDSCAPING, 1714 REMINGTON ST, FORT
COLLINS, 80525, 581-8183
81 PROVIDE REQUIRED BACKFLOW PREVENTOR AND BACKFLOW TEST RESULTS
Building Permit w/o Sus $30.00
City Sales/Use Tax 1 $i5.00
County Sales/0se Tax $4.00
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_pdale of such permit or from the date of the last inspection.
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Print name of owner/agent Sidnature Date TOTAL FEES