HomeMy WebLinkAbout6524 Southridge Greens Blvd - Permits/Air Conditioner - 06/13/2006Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building v°��°fi°"
Fort Collins, CO 80522-0580 $ 3r 4 2 0 Q
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 F B 0 6 0 2 6 1
ACCOUNT FEE I DATE PAID
JOB SITE ADDRESS 6524 SOUTHRIDGE GREENS BLVD PERMIT DATE 06/13/2006 Building Permit w/o Sub $1530 6/5/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Residenti
Last Name, First, Middle Initial Construction Type Occupancy Group
ALBERS,BETTY
Z Address City/State Wp No. of Stories Building Height
3 80525 207-1690 6524 SOUTHRIDGE GREENS BL FORT COLLINS, CO O
0
O Zip Phone No. Building Square Footage Stock Plan/Options
(D
Z
Right Side Setback
Z
Plat File No.
ZBA Case Number
Subdivision/PLID
J
Q
w
J
Lot
Block
Lot Area
O
Company Name
CLIMATECH HEATING 8 A/C INC.
Address
1797 S COLLEGE AVE
Z
Phone
Supervisor Cert. I
�
910 498 0793
Electrical
w mecnan
O
G`
Roofing
Framing
O
V
m Plumbin
INSTALL A/C
I�
Left Side
Zoning District (See reverse side for Inspection Description)
[
Filing G L r N M
p ---- - 8607311032
Contractor License No.
H 1426
City/State
FONT COLLINS, CO 805
License No.
NC. H 14
License No.
License No.
License No.
License No.
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.
Print name of owner/agent
Signature
Date
TOTAL FEES
$1