HomeMy WebLinkAbout903 SADDLEBROOK LN - PERMITS - 3/8/2004Community Planning & Environmental Services
Building & Inspections Division
i 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 903 SADDLEBROOK LN
PERMIT TYPE PER
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
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Address
City/State
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Zip
Phone No.
Front Setback
Rear Setback
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Right Side Setback
Left Side Setback
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Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
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wLot
Block
Lot Area
Parcel No.
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Comoanv Name
Contractor License No.
Address
Electrical
License No.
Mechanical
License No.
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Roofing
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete
License No.
BUILDING PERMIT
Building Valuation
B0401129 ACCOUNT
PERMIT DATE
C: ,�' f ;J 5 'dl,g Per,-,, it w/o Subs
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RMIT LEVEL CATEGORY TYPE
ISSU FUL Residential
Construction Type Occupancy Group
LU
in No. of Stories Building Height
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Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
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RESIDENTIAL SPRINKLER INSTALLATION TO BE DONE BY BELMIRE SPRINKLER & LANDSCAPE PO BOX
7932 LOVELAND, CO 80537-0932
667-7775 FCLWD
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PROVIDE REQ'D BACKFLOW PREVENTER & BACKFLOW TEST RESULTS- PLUMBING ALREADY DONE BY
BUILDER
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.
FEE I DATE PAID
$16.G 3/8/04
Print name of owner/agent
Signature
Date
TOTAL FEES
5