HomeMy WebLinkAbout3809 Big Dipper Dr - Applications - 02/27/2002City of Fort Collins
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box SW • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
First
LN. DR. CR. WY. PL. ST CT. RD. AVE.
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Number of Stories
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Middle
Zip Code
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Zip Code
Zip Code
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Building Height
Water Tap Size �� Sew r aSize Metered
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Type of Heat: Elctric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested:
V_Gas ❑ Electric 150 amp or less ❑ 200 amp ❑ other ,Yes ❑ No
[(including labor, material, profit) $ %y3, / 61,
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements conta'ne erein and city or(pnances, and state laws regulating building construction.
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE