HomeMy WebLinkAbout5220 Black Bark Ct - Permits/Sprinkler - 04/14/2000Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building &Inspections Division
$1,200-00
P.O. Box 580 281 N. College Ave.
BLill dingValuation
Fort Collins, CO 80522-0580 80011978
Cityet Fa,t ceu:°3 Phone (970) 221-6760 Fax (970) 224_6134
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 5220 BLACK BARK CT FTCO
PERMITDAT0411412QQQ
Building Permitw/sub3
$15.00
411412000
PERMIT TYPE SPKLR-R Residential Sprinkler System PERMIT LEVELIS.S.0 _FUL CATEGORY TYPE RESCENTIAI.
t]y $efesN3e Tax
$j B,QQ
4J�q/2000
Lest Name, First, Middle IIDtV]!- RK.KARD Constmction Type Occupancy Group
CoOntlySalews0TaX'
$4;80
h4/2000
Z Address SZZO BLACK BARK CT city/ 'ftRT COLLINS, CO C1 No. of Stories Building Height
O
V
O Zip 80528 Phone No. Building Square Footage 0 Stock PlarvOptions
Front Setback
Rear Setback
REQUIRED INSPECTIONS
Z
Right Side Setback Left Side Setback
CALL 221-6769
Z
MEN
TO SCHEDULE INSPECTIONS
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2
Plat File No. ZBA Case Number Zoning District
(See reverse side or Inspection Description)
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SubdivisioNPUD
Filing
wLot
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Block
Lot Area
Parc
OCompany
Name
Conlracmr License No.
QAddress
City/State
uO'
Phone
Supervisor Cert. No.
V
_
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Electrical
License No.
QZ
Mechanical
License No.
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Roofing
License No.
0
Framing
License No.
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Plumbing
License No.
v1
INSTALLATION OF SPRINKLER SYSTEM BY H MEOWNER.
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As a condition for the issuance of a permit, I hereby declare that I am an owner or the owners 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 derstand that such permit may be revoked in the
suc
event that issuance was based on incorrect or incomplete information. This permit shall a null and id if the work authorized by such permit is not
commenced, suspended, abandoned or of inspected within 180 de rom theo suc rmit or from the date of the last inspection.
L JLI, W I
Print name of owner agent gnatur Date/
TOTAL FEES
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