HomeMy WebLinkAbout3851 Glenarbor Ln - Applications - 06/25/2002City of Fort Collins
BUILDING PERMITS & INSPECITONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-OSM • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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c Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE.
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State Zip Code
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pervisor & Cert. #
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
21 1 C-7 I of Lao-\-V. �n5
Subdivision/PUD
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Filing Number Lot Block Lot Area
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Building Square Footage Number of Stories I Building Height
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Number of Dwelli g Units Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft.
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Stock Plan Number/Options Rado Energy Score/E-S r AirSealin lower D
Water Tap Size Sew,prTapSize Metered
314
Type of Heat: Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested:
as ❑ Electric 150 amp or less ❑ 200 amp ❑ other NQAs ❑ No
1 (including labor, material, profit) $ 40,41A . 5-
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Description of Work:
Job Contact Name & Phone #:
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Subcontractor Names:
Electrical 0Of1'tYbl I j lM 5WLS Mechanical 00r'1'S'M (n r�c, Sr„ S Plumbing 3 44-
Framer b I S pfl Roofing (1 A Concrete —'I eLh Vr a
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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.
Signature
Print Name rVt r✓ G Phone q"ZO '4414,
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE