HomeMy WebLinkAbout5421 Northern Lights Dr - Permits/Plumbing - 06/30/2006Community Planning & Environmental Services
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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
JOB SITE ADDRESS 5421 NORTHERN LIGHTS DR
PERMIT TYPE PERMIT
PLUM Plumbing Alteration
Last Name, First, Middle Initial
Z Address City/State
3 5421 NORTHERN LIGHTS FORT LINS
ZIP Phone No.
(7
_Z Right Side Setback Left
Z
qPlat File No. ZBA Case Number
306
J auocivisioruruu Filing
Q
wLot Block Lot Area Parcel No.
J 3os
Comoanv Name r r,rrar»nr i — — u
O
Phone
Supervisor Cert. No.
I 970 223 3312
Electrical
License No.
me
10
Mechanical
License No.
U
Roofing
License No.
H
Z
Framing
License No.
U
Plumbing
License No.
N
c n
Concrete
License No.
BUILDING PERMIT
Building Valuation
B0603211 ACCOUNT
PERMIT DATE
015/30/2006 Building Permit w/o
EVEL I CATEGORY TYPE
Construction Type Occupancy Group
Wp No. of Stories Building Height
O
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
RP FNP SPK
PLUMBING STUB OUT AND VACUUM BREAKER FOR FUTURE SPRINKLER SYSTEM
W
I —
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.
FEE DATE PAID
$'J. u E�3u/n
/v
Print name
Signature
Date
TOTAL FEES
$1