HomeMy WebLinkAbout605 S MASON ST - PERMITS - 4/14/2004Community Planning & Environmental Services
�I Building & Inspections Division
a 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 605 S MASON ST
PERMIT TYPE PERMIT
SPKLR-R Residential Sprinkler System
Last Name, First, Middle Initial
HALL. MH
Z Address City/State
3 505 S MASON ST FT COLLINS. CO
O Zip Phone No.
80521 482-1756
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Z
Right Side Setback Left Side Setback
Z
NPlat
File No. ZBA Case Number Zoning Dis
J
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
1
0
95
Company Name
I Contractor License No.
Address City/State
Phone I Supervisor Cert. No.
Electrical I License No.
BUILDING PERMIT
Building Valuation
B04021 1 4
ACCOUNT
PERMIT DATE n e ! ! n,+. n Subs v--+! ,l �! /-U J + buui l(ii1G rcrfiit W/ii Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use tax
Construction Type Occupancy Group
County Sales/Use tag
W
Mechanical
License No.
H
H
Roofing
License No.
Z
Framing
License No.
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Plumbing
License No.
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Concrete
License No.
wp No. of Stories Building Height
O
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SP
SPRINKLER SYSTEM TO BE INSTALLED BY ALPENGLOW SPRINKLER AND LANDSCAPING PO BOX 1981 FT
COLLINS, CO 80522 493-E571
�S PROVIDE REQUIRED BACKFLOW AND TEST RESULTS
1--
TAX BASED ON W 950.00 MATERIALS.
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 come null and void if the work authorized by such permit is not
commenced, susnded, aban ned or inspected within 180 days fr a date of s permit or from the date of the last inspection.
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IV 4�� /0 1( -
Print name of owner/agent Signature Date ITOTAL FEES
FEE I DATE PAID
$15.0 4/14/on4
$ M 5 4/14/04
+1 4/14/v4