HomeMy WebLinkAbout1215 Truxtun Dr - Permits/Sprinkler - 06/25/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS1215 TRUXUN DR
PEf
PERMIT TYPE
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
CX KAISER, BRYAN
Z Address City/State
Z 1215 TRUXUN DR FORT COLLINS, O
Zip Phone No.
80526 490-1399
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback
Z
�Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
wLot Block Lot Area 0 Parcel No.
cke Company Name Contractor License No.
O
Address City/State
H
Z Phone Supervisor Cert. No.
U
Electrical License No.
BUILDING PERMIT
Building Valuation
B0303920 ACCOUNT
PERMIT DATE
06 25 2003 301ding Permit w/o Subs
_EVEL CATEGORY TYPE
ISSU FUL Residential'My Sales/Use Tax
Construction Type Occupancy Group
bounty Sales/Use Tax
ce Mechanical
License No.
0
iJ Roofing
License No.
Z Framing
Z
License No.
U
cO I Plumbing
License No.
Cn
Concrete
License No.
RESIDENTIAL SPRINKLER BEING INSTALLED BY HOMEOWNER
PROVIDE READ BACKFLOW PREVENTER
W
w No. of Stories I Building Height
U Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SPK
FEE
DATE PAID
$15.00
6/25/03
$30.00
6/25/03
$8.00
6/25/03
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.
TOTAL FED .(
o.; e f n,s,ncr�ancr r Signature Date