HomeMy WebLinkAbout1250 Intrepid Dr - Permits/Sprinkler - 09/09/2005Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, Co 80522-0580
Citv of Fort Collins
$2,000.00
phone (970) 221-6760 Fax (970) 224-6134 B0505� 13
ACCOUNT
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SITE ADDRESS 1250 INTREPID DR PERMIT DATE
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PERMITTYPE
SPKLR_P Residential Sprinkler System
PERMIT LEVEL ISS�;���L
CATEGORY TYPE Residential
Last Werap Firs► Middle lniS a! I F
Construction Type
Occupancy Group
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ORT .,O L N. CO
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No. of Stories
Building Height
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zip 80526 Phone No. 980-8470
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Building Square Footagg, Stock Plan/Options
U
Front Setback Rear Setback
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Right Side Setback Left Side Setback
• • • •
Plat File No.
. •
ZBA Case Number Zoning District 84
Subdivision/PLID Filing
(See reverse side for Inspection Description)
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wLot
, 94 Block Lot Area o Parcel No. rt
Name Contractor License No.
OCompany
QAddress
City/State
O0
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing
License No.
OFraming
License No.
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Plum irk
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License No
Concrete
License No.
SPRINKLER SYSTEM
EACKI=LOW PREVENTED REQUIRED
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
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TOTAL FEES