HomeMy WebLinkAbout4136 Sumter Sq - Permits - 07/08/2003Community Planning & Environmental Services
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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 ADDRESS4136 SUMTER SO
PERMIT TYPE
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
HAYES, WILLIAM STUART, JR
Z Address City/State
3 4136 SUMTER SQ I FORT CC
Zip Phone No.
80525-3462 226-5150
0
Z_ Right Side Setback Left Side Setback
Z
Q Plat File No. ZBA Case Number Zoning District
J
Q
wLot Block Lot Area Parcel No.
0 8731413013
9� I Company Name I Contractor License No.
Address
License No.
BUILDING PERMIT
Building Valuation
B0304144 ACCOUNT
PERMIT DATE
07/08/1003' uilding Permit w/o Subs
EVEL CATEGORY TYPE
ISSU FUL Residential
oC
Mechanical
License No.
0
Roofing
License No.
F-
Z
Framing
License No.
U
°o
Plumbing
License No.
N
Concrete
License No.
wp No. of Stories Building Height
U Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SPK
RESIDENTIAL SPRINKLER BEING INSTALLED BY LAWN PATROL LLC PO BOX 271912 FTC 80527-1912 407-
8520
PROVIDE REQ'D BACKFLOW PREVENTER
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 fr a date of such per or fro he date of the last inspection. 3
[144c �/
7
" �r�" TOTAL FEES
Print name of owner/agent Signature Date
FEE DATE PAID
$15.00 7/8/03
$15.00