HomeMy WebLinkAbout1238 Bennett Rd - Permits - 07/16/2004Community Planning &Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
t^'cvof Fort � Phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS
Building Pemit w/ Subs
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y Lot
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Omecnanicai
License No.
Rooting
License No.
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Preming
License No.
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Plumbing
License No.
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Concrete
License No.
4 No. of Stories
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pee reverse
SPIT
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INSTALL CX33 w- SpRIN CIER SYSTEM
INSTALLED BY THUNDERBIRD WRNKLER CO., 2920 E. MULBERRY ST, PC 8o525 484-9945
PROVIDE REQUIRED BACKFLOW DEVICE AND BAC WLOW TEST RESULTS CITY WATER
Res
Inspection
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 ted with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete Information. it all become null end void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days fr to such malt or from the date of the last inspection. )f
Print name of ownertagent Signature
Date
15
7/16