HomeMy WebLinkAbout655 Justice Dr - Permits/Sprinkler - 08/14/2003Community Planning & Environmental Services
Building & Inspections Division
i P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CikyofFortCollins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRES!65 JUSTICE DR
PERMIT TYPE
SPKLR R Residential Sprinkler Syst
Last Name, First, Middle Initial
C DY
w Address
Z City/St.
W O Zip Phone No.
80020
Front Setback Rear Setback
0
_Z Right Side Setback Left Side Sett
Z
2 Plat File No. ZBA Case Number
Q
W Lot Block Lot
J
Lie Comoanv Name
Address City/State
Phone Supervisor Cert. No.
Electrical I i
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mecnanicai
License No.
0
Roofing
License No.
H
Z
Framing
License No.
V
50
Plumbing
License No.
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Zoning District
Parcel No.
mse No.
BUILDING PERMIT
Building Valuation
B030 ACCOUNT FEE DATE PAID
PERMIT DATE
PERMIT LEVEL
SU_FUL I Residential
Construction Type Occupancy Group
Wp No. of Stories Building Height
OI Building Square Footage I Stock Plan/Options
SPK
reverse side for Inspection Description)
SPRINKLER SYSTEM TO BE INSTALLED BY WATERBOY SPRINKLER INC. 1216 N SHIELDS FT COLLINS, CO
80524 484-4202
PROVIDE REQUIRED BACKFLOW AND 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 the date of such permit or from the date of the last inspection.
Print name
Date
TOTAL FEES