HomeMy WebLinkAbout6201 Southridge Greens Blvd - Permits - 11/12/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO �0522-0580
221-6769
city o ouuts BUILDING PERMIT
JOB SITE ADDRESS
r Permit Type Work Type Category Type
I Proposed Use Use Zone Permit Level
Subdivision PUD Filing
Q Subdivision/PUD
w
J
Lot Block
Last _ First _
Building
Parcel No. ACCOUNT
M.I. - -
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Address
City
Z
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-
O
`- � - - _ -
W A ¢ ENR Q T L�
State
--
Zip
Phone No.
¢
Company Name
Contractor License No.
Q
-+,i`? i Y .4 i ty ri
Address
City
State
Z
Z
Zip
Phone
Sales Tax No.
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
5_-.
-
Occupant Load
Occupancy Separation
Area Separation
LL
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
O
Z
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Text:
a
U
R
W
3se No. BBA Case No.
No Permit Date
TOTAL FEES
Fire Containment
Stock Plan
DEPARTMENT
i1
As a condition for the issuance of a permit, I hereby declare that 1 am an owner
or the owner's agent, authorized to perform the proposed work on the property WATER ER,` u ~ H W E
described herein. I agree to comply with all the requirements contained herein, -
and City ordinances, and State laws associated with such work.I understand that f 4
such permit may be revoked in the event that issuance was based on incorrect _
information. This permit shall become null and void if the work authorized by Ad, �' CHECK
such permit is not commenced, suspended, abandoned, or not inspected within APLAN C1
180 days from the date of such permit.
e Date
JAL - FILE- BLUE - OFFICE- CANARY - SALESTAX- PINK - APPLICANT. TAG - FIELD CARD
-LEFT
FEE DATE PAID
Lot Are,
Plat File No.
Oft St. Parking
0 01
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
v TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
NTUS
DATE
- - -+
Electrical
PASSED
92111"
-
Mechanical
PASSED
9211(4