HomeMy WebLinkAbout5144 Cinquefoil Ln - Applications - 10/18/2002Last
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c Street
BUILDING PE nn-rS Bit INSPECTIONS DIVISION
P.O. Box SW • Fort Collins, CO 80522-OSM • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE.
S21« tiS� )L S'
e ..License Number
U O 1 _/lI_.
Subdivision/PUD
C"
Filing Number
o
Building Square Foptage
Number of Dwelling Units
y
Stock Plan Number/Option
-i-cQ
N
Water Tap Size3
w
Type of Heat:
Id -Gas ❑ Electric
C-7 U-in lJl
Ll'
p i'OD�
Block
Number of Stories
a
Number of droc
a
Radon
Y if N)
e
f
N. PL. ST CT RD. AVE.
Lot Area
ms Unfinish
EnergyAScore,
__.._.. _VT I .i
Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal
td-150 amp or less ❑ 200 amp ❑ other I ;19�Yes ❑ No
(including labor, material, profit) $ 1 ;�(n _ LjQ:,
leight
7
isement
Job Contact Name &Phone #:
gw- Rio �
Subcontract r Nam : 7T► pQ
Electrical LQ Mechanical fy /c- Plumbing
FramerLW�A,:;�4ntlIRoofing 6Concrete LA((�
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements cont hed herein and city ordinances and state laws regulating building construction.
ccw
fl. Signature
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Print Name Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE