The URL can be used to link to this page

Home My WebLink About6320 TILDEN ST - PERMITS - 8/23/2005�`.. Community Planning &Environmental Services BUILDING P E RM I TPERMIT Building & Inspections Division FEES P.O. Box 580 281 N. College Ave. Building Valuation Fort Collins, CO 80522-0580 City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 50504744 600.00 ACCOUNT FEE DATE PAID JOB SITE ADDRESS 6332 TILDEN ST PERMIT DATE r ` fy n r 081 23� _005 8u111ding Pen�lit w/o Subs City Sales/lase Tax + County Sales/Use Tax � G n $ �.� $9.0 $ 2.4 ! a e n y EIL�/u 8/23/05 8 2 C 5 / 3/ PERMIT TYPE SPKLR-R Residential Sprinkler System PERMIT LEVEL ISSU_FUL CATEGORY TYPE Residential ce Last Name, First, Middle Initial US HOME CORPORATION Construction Type Wp Occupancy Group Address 9990 PARK MEADOWS DR City/State LONE TREE, CO No. of Stories O Building Height O ZipV $0124 Phone No. Building Square Footage Stock Plan/Options Front Setback Rear Setback !� • Z Z Right Side Setback Left Side Setback • • • • N Plat File No. ZBA Case Number Zoning District 1 Subdivision/PUD Filing (See reverse side for Inspection Description) S P K Q wLot Block Lot Area Parcel No. 21 14 0 860832102 Name Contractor License No. OCompany Address City/State ZO Phone Supervisor Cert. No. U Electrical License No. OMechanical License No. H Roofing License No. License No. OFraming V cc Plumbing License No. v> nn PLUMBING n M P 394 Concrete License No. INSTALL BACKFLOW PREVENTER FOR FUTURE SPRINKLER SYSTEM FCLWD PROVIDE 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 Comm nce% 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 Print Signature Date T©TAL FEES $26.