HomeMy WebLinkAbout816 W Laurel St - Permits/Sprinkler - 07/28/2004Community Planning & Environmental Services
Building & Inspections Division
�- 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 816 W LAURE
HERMIT TYPE
SPKLR-R Residential S rinkie
Last Name, First, Middle Initial
TON SARAH
ZAddress
3816 E. LAUREL ST
O Zip Phone
80525
Front Setback Rear S
Z
Z Right Side Setback Left Sk
NPlat File No. ZBA Case Number
ST
City/State
District
BUILDING PERMIT '
Building Valuation
1-60404862 ACCOUNT
PERMIT DATE
07 28 2004 Building Permit w/o Subs
LEVEL CATEGORY TYPE
Q nnny
wLot Block Lot Area Parcel No.
09 11421 0016
( Company Name
('� Contractor License No.
Phone
No.
neMechanical
License No.
Roofing
License No.
H
OFraming
License No.
V
cO
Plumbing
License No.
rn
Concrete
License No.
55u_t-UL I Residential
Construction Type Occupancy Group
Ow No. of Stories
Building Height
V
Building Square Footage Stock Plan/Options
REQUIRED INSPECTIONS
• 6•
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
SPK
INSTALL SPRINKLER SYSTEM
INSTALLED BY HURR SPRINKLER AND LANDSCAPE,1933 S. CR 15, BERTHOUD 567-8609
PROVIDE REQUIRED BACKFLOW DEVICE AND BACKFLOW TEST RESULTS CITY WATER
(BACKFLOW DEVICE INSTALLED BY HOMEOWNER PRIOR TO PERMIT)
As a cofidition 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
Women2d,�suspended, d or inspected within 180 days from the date of such permit or from the date of the last inspection. >,
Prin name of ow r/agent Signature Date ZIZI 0�TOTAL FEES
FEE DATE PAID
$15.00 7/28/04
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