HomeMy WebLinkAbout7126 Brittany Dr - Permits - 07/14/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 4 2 7 2
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ACCOUNT.
FEE
DATE PAID
JOB
SITE ADDRES
PERMIT DATE
N
Wilding Permit w/o Subs
$15.00
I/14/03
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
SPKLR-R Residential Sprinkler S tem
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
p No. of Stories
Building Height
O
Zip
Phone No.
Building Square Footage I Stock Plan/Options
Front Setback
Rear Setback
0
_Z
Right Side Setback
Left Side Setback
• •
Z
2
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
S P K
_
Q
wLot
Block Lot Area Parcel No.
Name Contractor License No.
OCompany
KA
Address City/State
Z
O
Phon e Supervisor Cert. No.
V
-
Electrical License No.
Mechanical
License No.
IW
Roofing
Framing
License No.
License No.
Z
m
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Plumbing
License No.
N
Concrete
License No.
SPRINKLER SYSTEM TO BE INSTALLED BY BELMIRE SPRINKLER & LANDSCAPE PO BOX 7932 LOVELAND,
CO 80537-0932 667-7775
PROVIDE REQUIRED BACKFLOW DEVICE AND REQUIRED BACKFLOW 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 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 a date f suc permit or fro date of the last inspection.
r
name of owner/agent Signature Date
I
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Print
TOTAL FEES i
$15.00