HomeMy WebLinkAbout5233 Old Mill Rd - Permits/Sprinkler - 09/15/2005 (2)Community Planning &Environmental Services BUILDING PERMITPERMIT FEES IN
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 $2,500.04
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0505253
ACItOUNT FEE DATE PAID
JOB SITE ADDRESS 5303 OLD MILL RD PERMIT DATE
09/ 15/2005 Building Persil w/o Subs $15.0 9/15/05
PERMITTYPE SPKLR-R Residential Spinkler System PERMIT LEVEL ISSU_FUL CATEGORY TYPE Residential
Last �aLnet First.AM IP�FIC HOMES Construction Type Occupancy Group
j Addrly
A�� City/State �p Na. of Stories Building Height
ssERRELL SCHREINER 4600 S SYRACUSE ST O
0 Zip Phone "°. V Building Square Footage
80237 303-779-41
Stock Plan/Options
Front Setback Rear Setback
• •
Z_ Right Side Setback Left Side Setback • • •
Z
Plat File No. ZBA Case Number Zoning District 5 (See reverse side for Inspection Description)
J Subdivision/PUD Filing SPK
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Lot 5 Block 1-Urea 0 Parcel No.
J 8605467005
% Company Name I Cnnt—tnr 1 ;,on,, u,
Address City/State
OPhone Supervisor Cert. No.
V
Electrical License No.
OMechanical License No.
Roofing License No.
Framing License No.
0
DPlumbing License No.
N ALLIANCE PLUMBING INC. MP 553
Concrete License No.
RESIDENTIAL SPRINKLER BEING INSTALLED BY BATH LANDSCAPE 2000 E PROSPECT RD FTC,CO 80524
PROVIDE READ BACKFLOW PREVENTER AND TEST RESULTS
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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 of owner/agent Signature Date
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