HomeMy WebLinkAbout620 JANSEN DR - PERMITS - 10/29/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 620 JANSEN DR
PERMIT TYPE SPKLR-R Residential Sprinkler System PERM
id
� `at'3fAlX:ald,MERT
IcI ft JANSEN DR city i stPORT COLLINS. CO
O z'P80526 Phone No. 226-0519
Z
Z
Z
O
N
J
wLat Block Lot Area O Parcel No.
J
O
H
U
Z
Z
O
U
cn
D
RES SPRINKLER INSTALLED BY BLUE
License No.
License No.
BUILDING PERMIT
Budding valuation
ISSU_FUL
0
O
reverse
SPK
ACCOUNT
0/29/200 1 ui'dirg Permit w/ Subs
E RESIDENTIAL
ST, LOVELAND. CO 80538
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.
$1,500.00
FEE DATE PAID
$15.00 1 10/29/01
�oC�N��rtncl�t.r� /° a`/'r-I
Print name of owner/agent Signature Date TOTAL FEES
$15.00