HomeMy WebLinkAbout245 Cajetan St - Permits/Sprinkler - 11/03/2006Community Planning & Environmental Services BUILDING PERMITPERMIT FEES
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Building & Inspections Division
i P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of F� phone (970) 221-6760 Fax (970) 224-6134 Q Q
5218 ACCOUNT FEE DATE PAID
JOB SITE ADDRESS I
PERMIT DATE
PERMITTYPE
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Building Permit w/o Su
$3.0.00
11/3
PERMIT LEVEL1=111
CATEGORYTYPE
R Residential Sprinkler System
City Sales/Use Tax
; i 2.00
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Last Name, First, idd a nitial
Consffuction Type
Occupancy Group
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Z
Addres lNG
City/State
County Sales/Use Tax
$3.20
11/0
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c) No. of Stories
Building Height
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PIG BOX 270053
Zip
Phone No. FORTV
Building Square Footage
Stock Plan/Options
Front Se76iie-17
Rear Setback
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Right Side Setback Left Side Setback
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2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/Puu
Filing
Q
SPK
JLot
Block Lot Area
Parcel No.
9
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Company Name
Contractor License No.
Phone
OMechanical
License No.
Roofing
License No.
H
Z
Q
Framing
License No.
Plumbing
License No.
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Con,natwulluii,s Lm I r ifieLicense
No. MP 224
SPRINKLER SYTEM TO BE INSTALLED BY HIGH COUNTRY LANDSCAPING, 1714 REMINGTON ST, FORT
COLLINS, 80525, 581-8183
8
1— 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.
Or
Prinfname of ownerr ent� Si aturee Da�/_C��� TOTAL FEES