HomeMy WebLinkAbout2104 Clearview Ave - Permits/Sprinkler - 06/12/2002Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 2 0 2 i 3 7 $ 3 f 1 8 5.0 0
City
JOB
SITE ADDRESS 2104 CLEARVIEW AVE PERMIT DATE 06/12/2002 1 luilding Permit w $15.00 /12/02
TYPE PERMIT LEVEL CATEGORY TYPE
SPKLR-R Residential Sprinkler System ISSU_FUL RESIDENTIAL Tity s ,64/vilel t &` I t�/02
Last Name, First, Middle Initial Construction Type Occupancy Group
DEMANCHE,SHERRY ounty Sales/Use $12.74 /12/02
PERMIT
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Address City /State WQ No. of Stories Building Height
2104 CLEARVIEW AVE FORT ..OLLINS. CO O
O
Z'90521-4210 Phone No. V Building Square Footage Stock Plan/Options
970-221-4292
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Front Setback Rear Setback
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Right Side Setback Left Side Setback
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Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing SPK
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Q
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Lot Block Lot Area 0 Parcel4ipi16408010
Name Contractor License No.
OCompany
V
Address City/State
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0
Phone Supervisor Cert. No.
V
Electrical License No.
0
Mechanical License No.
aV
dRoofing
License No.
Z
UFraming
License No.
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Plumbing License No.
PATRICK PLIBSING & HEATING MP-254
Concrete License No.
INSTALL SPRINKLER SYSTEM. CITY WATER.
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INSTALLED BY: AFFORDABLE SPRINKLING AND LANDSCAPING, 6344 W. 10TH STREET. GREELEY, CO
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80634, (970) 353-1466.
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
herein. I agree to comply with all City ordinances, and State laws
As a
described
event
associated with such work. I understand that such permit may be revoked in the
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work by
commenced,
authorized such permit is not
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date t 'K811; . . $7,
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