HomeMy WebLinkAbout6815 Brittany Dr - Permits - 05/20/2004NEW .
Community Planning &-Environmental Services
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
10B SITE ADDRESS sgis t3RCt'1"AIRyna
BUILDING PERM-
Building Valuation
B040319 ACCC t1NT
PERMIT DATE
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Last Name, First, Middle Initial Construction Type Occupancy Group
KBHQUESua Address
3 City/State No. of Stories Building Height
Zip Phone No. O Building Square Footage I Stock Plan/Options
Z Right Side Setback Left Side Setback
Z
I-
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection
Q Subdivision/PLID Filing SK
Lot Block Lot Area Parcel No.
Q
n Company Name Contractor License No.
mecnanicai
License No.
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Roofing
License No.
Framing
License No.
v
50
Plumbing
License No.
LO
Concrete
License No.
RESIDENT L SPFBNKLER SYSTEM BEING INSTALLED BY HALL: IR1MN LANDSCAPING 3026 4TH AVE.
GREELEY, CO 80631
PROVIDE REC'D BACKFLOW PREVENTER AND TEST RESULTS
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 incomptete 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.
Whiling Pemii W/o Subs) $15.0� 5/20/04
L Print name of owner/agent Signature Date TOTAL FEES $15