HomeMy WebLinkAbout924 Bramblebush St - Applications/Single Family New - 02/16/1989City of Fort Collins
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SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION `
80Fort Collins, CO 80522-0580 Phone: 221-6760
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UILDING PERMIT APPLICATION
Application Number
I Application Date
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Compa�yName 7 License Number Sales Tax,Numbar
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Mailing Address City State Zip Code
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Phone
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Permit Type Work Typ Category Type `
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Proposed Use of Building Permit Level
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Inspection�Ariea DDA,Boun a
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Value of Construction (including labor, material, profit) (iitrpv
Subdivision' f ff/ % Planne�dd,UUriit Development
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Filing Number Lot
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Type of Construction Fire S rinklers OccupancyrGroup
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Building Sq Footage Numbecof Stories Building Height
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Number of DwIallingUnits Number -of Bedrooms f
Stock Plan Numbery / / Opt o>
Water Tap Size /r Sewer Tap Size , // / Metered/Flat Rate
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Type of Heat:
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Gas ❑ Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant , ❑ Other:
Description of Work: - r n./4I--C, -7" ' Ay A/C &J
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The Storm Drainage Basin Fee must be paid prior to the issuance of a Certificate of Occupancy.
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AMP Fault Current Secondary Designation Signa�u ate i
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I hereby acknowledge that I have read this application and state that the abov)?'information is correct an&gree to comply with
all requirements contai ed herein aannd city ordinances and state laws regulating building construction.
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G Signature
Distribution: Original
Date
Blue - Office; Gold - Stormwater Utility; Pink - L &.P; Yellow - Water Utilities
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