HomeMy WebLinkAbout4745 Boardwalk Dr - Applications - 09/10/2002fir. ,
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052M580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Address Please
Specify.- LN. DR. CR. WY. PL. ST. CT RD. AVE. City State Zip Code
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Cop ny Name,
License Number Supervisor & Cert. #
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Address
City State Zip Code
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Phone
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Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. Zip Code
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Subdivision/PUD
A
CM
Filing Number
Lot Block Lot Area
Buildin Square Footage
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Number of Stories /�_ ���� Building Height
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Number of Dwelling Units Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. R.
N
Stock Plan Number
Options
Tap Size
Sewer Tap Size Metered
CAWater
N
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
❑ Gas ❑ Electric
❑ 150 amp or less ❑ 200 amp ❑ other
❑ Yes ❑ No
(including labor, material, profit) $ a o o oo
Description of Work: - ✓"
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fore � C�hcG�. �/�.� � rr►� t � f�nn / 755� �ar- c, c r �^�� rem e
Job Contact Name & Pho a #:
Subcontractor Names: I , 1 /
Electrical �- Fi �—I �; � � Mechanical �o u 4✓LE Viyl� kL �,1�Plumbing �l1 � � � Y}r�D � u.rVII, Nc�
Framer
I hereby acknowl dge that I have r
requireme con i ed herein and
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Print Name
Roofing
Other
this application and state that the above information is correct and agree to comply with all
ordinances and state laws regulating building construction.
Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater