HomeMy WebLinkAbout1120 Montgomery St - Permits/Sprinkler - 04/03/2006Community Planning &Environmental Services BUILDING P E RM I TEMMUM
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
i Fort Collins, CO 80522-0580
City Fort Collins
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Phone (970) 221-6760 Fax (970) 224-6134 B 0 6 01 3 9 0
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"ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 1120 MONTGOMERYST
PERMIT DATE 04/03/2006
Building Permit w/o Sub
$15.
0 4/3/06
PERMIT TYPE
PERMIT LEVEL
CATEGORY TYPE
SPKLR R Residential Sprinkler System
ISSU_FUL
Residentia
Last Name, First, Middle Initial
Construction Type
Occupancy Group
TBUILDERS
WW
Z
Address
City/State
p No. of Stories
Building Height
3
1420 BLUE SPRUCE DR
FORT COLLINS CO
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V
Zip Phone
No.
Building Square Footage Stock Plan/Options
rt
0
80524
490-6060
Front Setback Rear
Setback
0
Z
Right Side Setback Left Side Setback
• • •
Z
•
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
S P K
Subdivision/PLID
Filing
Q
w
Lot
Block
Lot Area
Parcel No,
J
1
8718445001
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OCompany
Name Contractor
License No.
Address City/State
H
0
.
Phone
Supervisor Cert. No.
V
Electrical
License No.
0
Mechanical
License No.
_
Roofing
License No.
ZZ
Framing
License No.
V
m
Plumbing
License No.
t t t
1
Concrete
License No.
SPRINKLER SYSTEM TO BE INSTALLED BY WATERBOY SPRINKLERS, 1216 N SHIELDS ST, FORT
COLLINS,C0,80524 970-484-4202
LU
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.
Print name of owner/agent Signature Date
TOTAL FEES
$15.
0'