HomeMy WebLinkAbout5019 Switchgrass Ct - Permits - 08/04/2004Community Planning & Environmental Services
Building & Inspections Division BUILD NG PERMIT
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fwt Coffins Phone (970) 221-6760 Fax (970) 224-6134
804001
JOB SITE ADDRESS !?8� S1lITCH+QAASSCT
PERMIT DATE
:
PERMIT TYPE
SPKLR-R Res�ieri W S kter em
PERMIT LEVEL
8 /0 4 20 4
CATEGORY TYPE
Building Pernit w/o Subs
:iS.Q
8/4/04
Last Name, First, Middle Initial
iSSU
FUL
Rascitat►1iatl
'
ae
Construction Type
Occupancy Group
w
Address
city/State
It
No. of Stories
Building Height
Zap
8052�i
Phone No.
970-282-6510
O
Building SquiiPlan/Options
Front Setback
Rear Setback
►
_Z
Z
Right Side Setback Left
Side Setback
.,.
_
14
Plat F'le No.
ZBA Case Number
Zoning District
(See reverse side for Inspection DesCflptiOrtj
J
Subdivia oNPUD
Piling
S P K
cQ
tL
J
Lot
Block
Lot Area
Parcel No.
O
Company Name
Contractor License No.
Address
City/State
Phone
Supervisor Cert. No.
V
Electrical
License No.
OMechanical
License No.
Roofing
sE�
License No.
Z
Framing
License No.
V
Plumbing
License No.
Cancre a
License No.
INST&L SPFINKLER SYSTEM
INSTALLED BY: WA't ERBOY,1216 N. SHIELDS ST. FTC, 8=4. 970-484-4202.
a
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 became null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the data of such permit or from the' date of the last inspection.
Print name of owner/agent Signature Date��
..
�.: