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HomeMy WebLinkAbout621 Prichett Ct - Applications - 06/10/2002City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box S80 • Fort Collins, CO SOS22-058o • Phone: 221-6760 • Fax 22&6134 BUILDING PERMIT APPLICATION Iasi First Middle Phone CD cStreet Address I Please Specify: LN. DR. CR. WY.�PL. ST. CT. RD AVE. City State Zip Code �©�4ipyldU -o-` Company Name Li c nse Numb r Supervisor & C rt. # 0 Mailing Address City State Zip Code � Phone : 1 1' Please Specify: LN. DR. CR. WY. PL. ST CT. RD, AVE. j1At Zip� d !CFM l�/4 6` Subdivision/PUD I Filing Number n Lot J Block 0 Lot Area Buildin quare Footage Number f Stories Build' q� Heigh Nu ber of Dvlelling Units Number of Bedro ms/Bathrooms Unfinished/Finishe Basemen Sq. Ft. � St c Plan Nu( bee1r/Options �+ Rad En rgy S e/E-St r/ it � ealing/Blower Door O' "I Y / N d Water Tap ze ` ` �t �t SewerT prS�ze Metered AD Tykyof Heat: Electp'c Main Breaker Size (Residential On Ten po ry Electric Pedestal Requested: Gas ❑Electric 150 amp or less ❑ 200 amp ❑ other Yes ❑ No ' 1 1 1 (including labor, material, profit) $ J115 f Description of Work: _ f ,I V i �M ba� c '' WT dir <. Y Job Contact NWe & Phone brl,aA 1&1((jq-10- I -ei7Cg Subcontractor Names: Electrical �-i FJ W C- Mechanical ( Plumbing Framer c ca Roofing V , Concrete I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained hereinandcity ordinances and state laws regulating building construction. a Signature CL /Y d t Print Name Phone ,303 - ¢66 - /$3/ Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE