HomeMy WebLinkAbout6102 Claire Ct - Applications - 07/18/2003BUILDING PERMITS & INSPECTIONS Divism
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
L
Last
First
Middle Phone
N
c
Street Address Please
Specify: LN. DR. CR. WY. PL. ST T. D. AVE.
City State Zip Code
Vpa y ame
License Number
pervisor Cert. #
o
ccMailin
ddress
City
State Zip Code
(5
Phone
Please Specify: / LN. DR. CR.
WY. PL. ST T D. AVE. Zip Code
Subdivision/PUD
1
o+
C
CD
Filing Number
Lot ock
Lot Area
o
Building uare Fo age
Number of Stories
Building Height
Number of D el6ng Units
Number of Bedrooms/Bathrooms Unfinished/Tipished sement Sq. Ft.
3
S k Plan tuber/0 do
P
Rado
Energy Scor /E-Star(Air Sealin Blower Door
Y LN
Water Tap Size/
Sewer Size
A-,;yM t ed
Type of Heat: f
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal -Requested:
as ❑ Electric
amp or less ❑ 200 amp ❑ other
No
Description of Work:
ion contact Name & Phone #:
Electrical
Framer
(including labor, material, profit) I
i nereoy acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contd herein and c.4 ordinances and state laws regulating building construction.
UIJU IUULIU 11. wmie — vniee reuow — Applicant NmK — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE