HomeMy WebLinkAbout6720 Beverly Glenn Ln - Permits - 05/20/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cfty of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
106 SITE ADDRESS 6ra BEVERLY G ENN LN
:RMIT TYPE
_ SPKLR-R Residential SprinklerSys*m PER
Last Name, First, Middle Initial
BUILDING PERJVIIT
ix Va I .O Construction Type
w Add
W E BELLDR city/slate O
ress No. of Stories
DEMMIR CO
Zip Phone No. V
Bu
am/ ilding Square R
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
(See reverse ;
SubdivisiorVPUO
Filing S P K
Lot Block Lot Area Parcel No.
Company Name 0
Contractor License No.
Phone
0 mechanical
License No.
GRoofing
y�y
License No.
O Framing
License No.
V
NPlumbing
License No.
Concrete
License No.
Occupancy Group
RESIDENTIAL SPRtNKLER SYSTEM SONG INSTALLED BY HALL-IRMN LANDSCAPING 3026 4TH AVE.
GREELEY,00 8MJ
PROVIDE REOD BAC3KFL OW PREVENTER AND TEST RESULTS
AS a condition for the issuance of a permit, t 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.
Building Valuation
1CCC3UNT FEE DATE PAID
IuildiR Permit w/o Subs $15.0) 5/20/04
Print name of owner/agent Signature
...,,...
uate