HomeMy WebLinkAbout2839 Longboat Way - Applications/Single Family New - 10/31/2002Lmi6nm�
City of Fort Collins
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 22"134
BUILDING PERMIT APPLICATION
First
Middle
Phone
Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City State Zip
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Company Name License Number Supervisor & Cert. #
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Mailing Address City State Zip C
Phone
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apectry: LN. DR. CR. WY. PL. S1 CT RD. AVE.
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Filing Number Lot Block
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Building Square Footage Number of Stories
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Number of Dwelling Units Number of Bedror
Area
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Stock Plan Number/Options Radon Energy Sc
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Water Tap Size 3 j y 4 Sewer Tap Size
Type of Heat: Electric Main Breaker Size (Residential Only) Te�lpoo ary Electric
Gas ❑ Electric 150 amp or less ❑ 200 amp ❑ other] Yes ❑ No
guailli Im luding labor, material, profit) $ t s I z �'a r'.'
Description of Work:
Building Height
30 r)" r-, '>'
7 y g
/E-Star/Air Sealing/Blower Door
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Metered
destal Requested:
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.
Signature
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Print Name Q-Pq---Lj ru n-) c E-L_L _r -p-
Phone 3 G3 ZZO (o G ('5
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE