HomeMy WebLinkAbout508 JANSEN DR - PERMITS - 8/21/2001Community Planning &Environmental Services B1,11LDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 $1400 0Q
City of Fort CollinsE
Phone (970) 221-6760 Fax (970) 224-6134 � � �
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 508 JANSEN DR PERMIT DATE 08/2 1/200 1 Building Permit w/ Subs $15.00 8/21/01
PERMIT TYPE SPKLR-R Residential Sprinkler System PERMIT LEVEL ISSU FUL CATEGORY TYPE RESIDENTIAL
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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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
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Print name of owner/agent SignatLrre Date TOTAL PEES
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