HomeMy WebLinkAbout3915 Galileo Dr - Applications - 04/11/2002Last
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-OSM • Phone: 221-6760 • Fax 22&6134
BUILDING PERMIT APPLICATION
First
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Please Specify: LN. DRk� �,&. CR. WY. IL. IT. IT, RD. AVE.
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Middle
Phone
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Zip Code
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Mailing Address
City
State Zip Code
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C.3
Phone
=Please
Specify: LN. DR. CR. WY. PL. IT IT RD. AVE. Zip Code
= -3-715
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Subdivision/PUD
CM
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Filing Number
Lot Block
Lot Area
/0 5
Building Square Footage
Number of Stories
Building Height
0
1-G 7�
2
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2V 4:
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Number of Dwelling Units
Number of Be ooms/B throoms Unfinished/Finished Base ent Sq. Ft.
-3 ��
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Stock P N umber/Options
l6
RadonEnergy
Scoe/E-Star/Air ealing/Qlowerpoor
LW
Water Tap Size 3 ��
SewerT �S�ze
etered
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
) hYes ❑ No
NUT
(including labor, material, profit) $
Description of Work: I I
i - / I , .I 1
, A
Job Contact Name & Phone #:
Subcontract'or,�ames:
Electrical�� Mechanical �(��'(� . �/2 . Plumbing
Framer Roofing ��f�•�d-`c.�� 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 herein and city ordinances and state laws regulating building construction.
F ..�
FL Signature JC9��
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Print Name Phone
Distribution: hite — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE