HomeMy WebLinkAbout3609 Glenlyon Ct - Applications - 07/16/2002BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Phone
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Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE.
-76S / Ca 11,1vS
City State Zip Code
ZS
Co --5R TZ5 5ZL
is
, 7 F1-
ompany Name License Number
Supervisor & Cert. #
Mailing Address
3-700
F Ci t to Zip Code
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Phone
Please Specify. LN. DR. CR, WY. PL, ST. CT. . AVE. Zip Code
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Su division PUD 1
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Filing Number
Lot Block
Lot re& r�
(
.
Building Square Footage
Number of Stories
Building Height
/$` h"
Number of Dyuelling Units
Number of B d�r`ooms/Bathrooms Unfinished inished Basement Sq. R.
C,
Stock Plan Number
'Options
4, r-
ova.
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Water Tap Size
Sewer Tap Size
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Metered
ly
7
Type}f Heat:
Electrl� Main Breaker Size (Residential Only)
Tempor_Y Electric Pedestal Req sted:
&
42rGas ❑ Electric
it 150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
1
r r r (including labor, material, profit) $
Description of worK:
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Job Contact Name & Phone #:
:T,7,O U5 o�, Sic , Uz� W YAT--r q F 1—? S 7
Subcontractor Names: /
Electrical , ors D. cc4-fc� Mechanical el X C Plumbing
Framer Roofing `''--� Other�Q--
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 ST l/��j! Phone�—
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater