HomeMy WebLinkAbout332 Peyton Dr - Applications - 08/04/2003Last
First Middle
Phone
vo .
3- -1
cStreet
Address Please Specify: LN.
DR. CR. WY PL. ST CT. RD. AVE. City
State Zip Code
epany
y
Co Name
License Number
Supervisor & Cert. #
Mailing Address - -
ity �- State
-
Zip Code
CD16iPlease
Specify: LN. DR. CR. WY PL.
ST CT RD. AVE. Zip Code
'
3
Q
Subdivision/P D
CM
0
Filing Number
Lot
Block D L
Area
0
Building S otage
mber of Stories
B Idin i Height
LNumber
of Dwelling U
Number of Bedroom Bathroom
ed/F ished Basement Sq. Ft.
"�>
'S 1
Stock Plan Nu er/Optiigns
Rado ,
Energy Score/ E-Star/Air Sealing/Blower Door
TJ s
u%
Y / 2
Ai'(-S�j
y
Water Tap Size' �)� �i f
Sewer Tap �Size
LL44
Metered
Type Of Heat:
a
is Main Breaker Size (Residential Only
Tem ary Electric Pedestal Requested:
Gas El Electric
150 amp or less ❑ 200 amp ❑ other
l Y,s ❑ No
111111:9II21010 +'i9:1Il14llll 1 (including labor, material, profit) $ j (p U . i to �, q4
Description of Work:
1-7Do wf Sarni <�r�nla�� , II►> ��
Job Contact Name & Phone #:
& L11 qlt 4I1b- 5`7(och
Subcontractor Names:
Electrical P My10 Mechanical-'t�j'�, Plumbing i�'1��/ ��(,(j(►� (
_ T
Framer L i�'rn�j Roofing —A"jwed fm` A Concrete
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.
R
w
'a Signature
o.
Print Name Phone M3 �G
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE