HomeMy WebLinkAbout6227 WESTCHASE RD - PERMITS - 1/14/2004Community Planning &Environmental Services BUILDING PERMIT
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PERMIT
FEES
Building & Inspections Division
Building Valuation
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 �I [� (�
ACCOUNT
FEE
DATE PAID
$15.C'
1/14/04
JOB
PERMIT DATE
SITE ADDRESS 6227 WESTCHASERD C1 ' "1 ICJ t Building Permit w/o Sobs
TYPE PERMIT LEVEL CATEGORY TYPE
SPKLR-R Residential Sprinkler System ISSU_FUL Residential
PERMIT
Last Name, First, Middle Initial Construction Type Occupancy Group
N HOMES City/State p No. of Stories Building Height
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Address/
8100 E. MAPLEWOOD # O
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Zip Phone No. Building Square Footage Stock Plan/Options
80111 303-486-5000
Front Setback Rear Setback !
0
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Right Side Setback Left Side Setback • , • •
Z
ZBA Case Number Zoning District (See reverse side for Inspection Description)
Plat File No.
Subdivision/PUD Filing S P K
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Q
7BlockLot
wLot
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Area ^(� Parcel No.
0
Company Name Contractor License No.
Ce
aAddress
City/State
dH
Z
Phone Supervisor Cert. No.
V
Electrical License No.
Mechanical License No.
O
Roofing License No.
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Framing License No.
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Plumbing License No.
nc n rn In
Concrete License No.
INSTALL SPRINKLER SYSTEM PROVIDE REQUIRED BACKFLOW DEVICE AND BACKFLOW TEST
RESULTS FCLWD
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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
commencedus� end , abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
TOTAL FEES
$15.0
Print name of owner/agent Signature Date