HomeMy WebLinkAbout3042 Indigo Cir N - Permits/Sprinkler - 08/19/2005Community Planning &Environmental Services
FEES
} Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
F
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0503609
2 1 75.00
.ACCOUNT
FEE
DATEPAID
JOB
SITE ADDRESS 3042 INDIGO CIR N
PERMIT DATE 6
k-)i I -)� , 005
n
" l i�;eg remit w/o Subs
$15.0
8/ 19/05
PERMIT
TYPE PERMIT LEVEL
SPKLR-R Residential Sprinkler System ISSU_FUL
CATEGORYTVPE
Residential
City Saies/0se Tax
�cunty Salesi0se Tan
$32.6
$8.
8/19/05
8/19/05
W
Last Name, First, Middle Initial
WHITEDOVE, MERIA A
Construction Type
Occupancy Group
Z
3
W
p
0
Address City/State
3042 INDIGO C R NORTH FORT COLLINS, CO
No. of Stories
Building Height
0
zipV
Phone No.
80525 295-5198
Buil ding Square Footage
Stock Plan/Options
Front Setback
Rear Setback
Z
• • • •
Right Side Setback Left Side Setback
Z
2
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description
PK
J
6uj
Lot Block Lot Area Parcel No.
J
0 8505107015
Name Contractor License No.
OCompany
Address City/State
0
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing
License No.
F
Framing
License No.
Z
V
Plumbing
License No.
Concrete
License No.
RESIDENTIAL SPRINKLER SYSTEM BEING INSTALLED BY AFFORDABLE SPRINKLING AND LANDSCAPE 6344
W 10TH ST GREELEY, CO 80634
PROVIDE RE= BACKFLOW PREVENTER AND 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.
name of owner/agent Signature Date
Print
TOTAL FEES
$563