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HomeMy WebLinkAbout6903 RANGER DR - PERMITS - 6/2/2004Community 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 ADDRESS 6903 RANGER DR PERMIT TYPE PER SPKLR-R Residential Sprinkler S tem Last Name, First, Middle Initial a' LEWIS C:RIS Z Address City/State 3 6903 RANGER DR FORT COLLINS, C Zip Phone No. 8W25 282-9241 Front Setback Rear Setback 0 _Z Right Side Setback Left Side Setback Z NPlat File No. ZBA Case Number I Zoning District Q----................ Filing wLot Block Lot Area Parce Q oi' Company Name O Contractor License No. Address City/State —'--""" License No. OMechanical License No. H URoofing License No. H Z Framing License No. V DPlumbing License No. N Concrete License No. BUILDING PERMIT ' Building Valuation B0403514 ACCOUNT PERMIT DATE 06 02 2004 Building Permit w/o Subs .EVELFBuildinrSgUSqu.r. CATEGORY TYPE Residential City Sales/Use Tax Type Occupancy Group County Sales/Use Tax s Building Height Footage Stock Plan/Options (See reverse side for Inspection Description) SPK INSTALL SPRINKLER SYSTEM - HOMEOWNER DOING ALL WORK INCLUDING PLUMBING �-, I PROVIDE RE= BACKFLOW PREVENTER AND 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. C' rr`S Le � -- 6o - a-OLt Print name of owner/agent Signature Date TOTAL FEES FEE DATE PAID $15.0 6/2/04 $7.5 6/2/04 $2.0 6/2/04