HomeMy WebLinkAbout4627 S TIMBERLINE RD - PERMITS - 6/20/2003Community 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 ADDRESS4627 S TIMBERLINE RD
'ERMIT TYPE PER
SPKLR-C Commercial Sprinkler System
Last Name, First, Middle Initial
BRINKER RESTAURANT GROUP
Z Address City/State
3 6820 LBJ FREEWAY DALLAS, TX
U Zip Phone No.
75240 972-770-5929
Front Setback Rear Setback
0
_Z Right Side Setback Left Side Setback
Z
QPlat File No. ZBA Case Number Zoning District
Q ruing
w Lot Block Lot Area O 8606118012
Parcel No.
Company Name
ll Contractor License No.
Address
Phone
License No.
License No.
OMechanical
Roofing
License No.
H
Z
Framing
License No.
U
D
Plumbing
License No.
<n
Concrete
License No.
BUILDING PERMIT
Building Valuation
B0303797 ACCOUNT
PERMIT DATE
OEi/20/2UO3 wilding Permit a/ Subs
.EVEL CATEGORY TYPE
ISSU_FUL Non Res Bid Const ity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
in No. of Stories Building Height
0
Building Square Footage I Stock Plan/Options
(See reverse side For Inspection Description)
SPK EG
INSTALL SPRINKLER SYSTEM
INSTALLED BY INTERMOUNTAIN LANDSCAPE, 17000 S. GOLDEN RD, GOLDEN, CO 80401 303-384-9994
CITY WATER
INSTALL REQUIRED BACKFLOW DEVICE
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 pf
hall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 da as t or from the date of the last inspection.
Print name of owner/agent Signature Date
FEE DATE PAID
$15.00 6/20/03
$37.50 6/20/03
$10.00 6/20/03
FEES 1 $62.501