HomeMy WebLinkAbout2803 Des Moines Dr - Permits - 09/17/2003Community Planning & Environmental Services
m m�� 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 2803 DES MOINES DR
'ERMIT TYPE PEF
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
W RND DEV
Z Address City/State
3 1901 AVERY CT FT COLLINS CO
0 Zip Phone No.
80525 224-9284
BUILDING PERMIT
Building Valuation
B0061ACCOUNT FEE DATE PAID
PERMIT DATE
09' 1.7 200:3 Building Permit a/o Subs $15.0 9/17/03
_EVEL CATEGORY TYPE
ISSU FUL Residential City Sales/Use Tax $22.5 9/17/03
Construction Type Occupancy Group
County Sales/Use Tax $6.0 9/11/03
p No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
Front Setback Rear
Setback
Z
Z
Right Side Setback Left Side Setback
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N
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
S P K
Subdivision/PUD
Filing
_
Q
wLot
Block
Lot Area
Parcel No.
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0�0
Company Name
PARAGON BURS 8 P
Contractor License No.
Address
City/State
CO
Z
Phone
303 442 8453
Supervisor Cert. No.
Electrical
License No.
Mechanical
License No.
Roofing
License No.
F—
Z
0
Framing
License No.
Plumbing
License No.
m
N
Concrete
License No.
SPRINKLER SYSTEM TO BE INSTALLED BY PARAGON BUILDERS - LIC # B-321
�<- PROVIDE REQUIRED BACKFLOW PREVENTER AND BACKFLOW TEST RESULTS
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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 Slcinature Date TOTAL FEES 41