HomeMy WebLinkAbout6139 Carmichael St - Permits - 07/16/2004dhCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
COW offFort� Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE AD
PERMIT TYPE
SPKLR R
Last Name, First, Middle Initial
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7S>u.i Address
V zip
Front Setback
Zn Right Side Setback
ICI Plat File No.
Subdivision/PUD
Lot
Number
License
License
BUILDING PERMIT
SPK
80404561
reverse
Height
SPRINKLER SYSTEM TO BE INSTALLED BY LANDESCAPES DESIGN & CONSTRUCTION. INC. PO BOX
272610 FORT COLLINS, CO 80527-2610 970-22"75
P ( PROVIDE REQUIRED BACKFLM PREVENTER AND BACKFLM 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 the date of such permit or from the date of the last inspection.
Building Valuation
15.00 7/16ro4
name