HomeMy WebLinkAbout621 Keenesburg Ct - Permits - 07/14/2004Community Planning & Environmental Services
Building & Inspections Division
i 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 ADDRESS 621 KEENESBURG CT
PERMIT TYPE
PERMI'
SPKLF-R Residential Sprinkler System
Last Name, First, Middle Initial
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GUTHRIE, JOHN
Z
Address
City/State
3
621 KEENESBURG CT
FORT COLLINS, CO
Zip
Phone No.
W526
207-0375
Front Setback
Rear Setback
Z
Right Side Setback
Left Side Setback
Z
Plat File No.
ZBA Case Number
Zoning District
J
Subdivision/PUD
Filing
a
wLot
Block Lot Area
Parcel No.
J
O
Company NameI
Contractor License No.
City/State
Phone
Electrical
BUILDING PERMIT
Building Valuation
B0404505 ACCOUNT
PERMIT DATE
07/ 14/2004 Building Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
Wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
Cj:: Mechanical License No.
0
Roofing License No.
H
Z Framing License No.
U
m Plumbing License No.
N
Concrete License No.
INSTALL SPRINKLER SYSTEM (ALREADY INSTALLED)
INSTALLED BY LONGS PEAK LANDSCAPING
PROVIDE REQUIRED BACKFLOW DEVICE AND BACKFLOW TEST RESULTS
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(See reverse side for Inspection Description)
SPK
As a cort'dition 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 da s from the date of uch perm' or from the date of the last inspection.
,1ox1A1 It, Hwu e 17)1�4
Print name of owner/agent S na a Date / i� TOTAL FEES
FEE DATE PAID
$15.00 7/14/04
$37.50 7/14/04
$10.00 7/14/04