HomeMy WebLinkAbout7221 Matheson Dr - Permits - 04/14/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cityaf Fart collies phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS7221 MATHESON DR
PERMIT TYPE PERN
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
DEPPERMATI, DEE
Address City/State
7221 MATHESON DR FORT COLLINS, CO
O 10525 Phone No. 407-1243
Front Setback I Rear Setback
Z Right Side Setback
Z
Plat File No. ZBA Case Number
J :juoaivisionn,uu Filing
Q
wLot Block Lot Area O Parcel No.
J
OCompany Name Contractor License No.
H
Address I Ciw/ltara
License
BUILDING PERMIT
Building Valuation
B0301602
ACCOUNT
PERMIT DATE
04/'14/2003 uilding Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential ity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SPK
License No.
OMechanical
Roofing
License No.
H
License No.
OFraming
U
m
Plumbing
License No.
h
Concrete
License No.
INSTALL SPRINKLER SYSTEM
INSTALLED BY AFFORDABLE SPRINKLING, 6344 W. 10TH ST, GREELEY 82634 353-1466
PLUMBING STUBBED OUT AT TIME OF CONSTRUCTION
�n �
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, uspendgid, abzooned or inspected within 180 days from the date of such permit or from the date of the last inspection.
L7l`-`
QUM
FEE I DATE PAID I
$15.00 4/14/03
$37.28 4/14/03
$9.94 4/14/03
Print name
Signature
Date
TOTAL FEES
$62.22