HomeMy WebLinkAbout6127 CARMICHAEL ST - PERMITS - 5/21/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Milll� Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 6127 CARMICHAEL ST
PERMITTYPE PER
SPKLR-R Residential Sprinkler Sptem
Last Name, Fi t, Midd
P Initial
oc
Z Address City/State
3
O Zip Phone No.
BUILDING PERMIT
Building Valuation
B0403245 ACCOUNT
PERMIT DATE
05 21 2004 Building Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
Front Setback Rear
Setback
0
Z_
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
^
fJ
O
Company Name
Contractor License No.
Address
City/State
HPLFZ
Phone
Supervisor Cert. No.
303 486 5000
Electrical
License No.
Q.,�
Mechanical
License No.
0
Roofing
License No.
H
License No.
OFraming
V
Plumbing
License No.
AIRS MECHANICAI
NIP 4.18
Concrete
License No.
p No. of Stories Building Height
V
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
SPK
SPRINKLER SYSTEM TO BE INSTALLED BY LANDESCAPES DESIGN & CONSTRUCTION, INC. PO BOX
272610 FORT COLLINS, CO 80527-2610 970-226-4475
I—
PROVIDE REQUIRED BACKFLOW PREVENTER AND BACKFLOW TEST RESULTS
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 DATE PAID
$15.0 5/21/04,
Print name
Date
TOTAL FEES
$1