HomeMy WebLinkAbout6213 SOUTHRIDGE GREENS BLVD - PERMITS - 6/22/2006Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
Building & Inspections Division
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 B 0 6 0 3 0 5 6
ACCOUNT FEE [SATE PAID
JOB SITE ADDRESS PERMIT DATE
6213 SOUTHRIDGE GREENS BLVD 06/22 2006 Building Permit w/o Sub $30. 0 6J22/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU FUL Residents
Last Name, First, Middle Initial Construction Type Occupancy Group
DYE TIMOTHY SIKIMBEIRLY A
LU Address
Z City/State Cp No. of Stories Building Height
O Zip Phone No. O Building Square Footage Stock Plan/Options
218-0500
Front Setback Rear Setback ,
Z Right Side Setback Left Side Setback • • •
Z '
N Plat File No r ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/P ;: Filing f N P
wLot Block Lot Area Parcel No.
J
7 7
Address
Mechanical
License No.
H
H
Roofing
License No.
Z
Framing
License No.
U
'n
Plumbing
License No.
N
n i
KIP 4
Concre a
License No.
INSTALL 2 WATER HEATERS
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