HomeMy WebLinkAbout6127 WESTCHASE RD - PERMITS - 8/4/2004Community Planning & Environmental ServicesRAJ 11
Building & Inspections Division BUILDING P E RM I T
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
city oftortcoffins phone (970) 221-6760 Fax (970) 224-6134 60404996
ACCOUNT Jell
JOB SITE ADDRESS PERMIT DATE ,
6127 WESTC:hiASE RD 0$/04/2004 Building Permit w/o Subs ;15.00 8/4/04
Last Name, First,
w �Address
0
Construction Type
LQQVt No. of Stories
Occupancy Grc
Building Height
L_
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
SPK
WLot
Subdivision/PUD
Filing
Block
Lot Area
Parcel No.
J
95
Company Name
I Contractor License No.
Address
City/State
E-
0
Phone
Supervisor Cert. No.
V
Electrical
License No.
W
Mechanical
License No.
10
Roofing
License No.
Framing
License No.
UO
Plumbing
License No.
lA
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INSTALL SPRINKLER SYSTEM. FORT C OLLINSILOVELAND WATER DISTRICT
INSTALLED BY LANDESCAPES, 8360 STEEPLECHASE DR, WINDSOR, CO 80650, 970-674-3400.
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. 1 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.
name of owner/agent Signature Date