HomeMy WebLinkAbout6436 Southridge Greens Blvd - Permits - 05/22/1995Community Planning & Environmental Services
Building Permits & Inspections Division
P.O. Box 580
c1tS c� a Fort Collins, CO 805ZM580
JOB SITE ADDRESS 6436 SOUTHRIDGE GREENS B1
t= Permit Type Work Type
S MECHANICAL ALTERATION
wProposed Use Use Zone
SINGLE FAMILY DWELLING
Subdivision PUD Filing
J
� Subdivision/PUD
W
Lot Block Parcel Mo.
W 6Wrl UK
Z Addreu City
3 6436 SOUTHRIDGE GREE FORT
0 State Zip Phone No.
CO 80525 223—S
Company Nama Contractor License
QUALITY AIR MECHANICAL H-11
Ad1261 S CLEVELAND cityLOVELA
Zip Phone
80537 1 663-6378
Building Square footage
Oaupant Load Occupai
C
3 No. of Dwelling Ynits No. of Bedrooms Na.
U.
O TeA
Z
0 REPLACING AIR CONDITIONER
d
a
v
N
W
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 the requirements contained herein, and 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 information. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected within 180 days fro t e date of such permit.
Signature Data
BUILDING PERMIT
221-6769
Permit Level
Building Valuation
OTC PERMIT ISS
SETBACKS
REAR
LEFT
FRONT
Area
File No.
St. Parking
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
GL I FNMI SPI