HomeMy WebLinkAbout3415 W Prospect Rd - Applications - 08/01/2002BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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License Number
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Mailing Address
City State Zip Code
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Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. Zip Code
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Number
Lot Block
Lot Area
Building Square Footage
Number Qf Stories
Building Height
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Number of Dwelling Units
Number 1,Bedrooms/Bathrooms Unfinis d i4he d Baselnent Sq. Ft.
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Energy Score/E-Star it e in lower Door
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Wat ap Size
Sewer Tap Size
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Tye of eat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
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M, (including labor, material, profit) $ �
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Description of Work:
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Job Contact Name &Phone #:
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Subcontractor Names:
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Mechanical Q It'",'k5
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Plumbing 1f set j KS
Framer�jl J Roofing �—
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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.
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a. Signature
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Print Name Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE