HomeMy WebLinkAbout5039 Northern Lights Dr - Applications/Multi Family New - 10/21/2002�l it I'il
City of Fort Collins
Last
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
First
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Please Specify: LN. CR. WY. PL. ST. CT. RD. AVE.
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Middle
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Mailing A
ICity
State
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Plea 'Specify:
CR. WY. PL. S1 CT. RD. I
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6-
LU,6-j5 A -
Subdivision/PUD
CD
Filing Number
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Lot Aranx
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Bull Squa a Footage
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Nu er
Stories
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Num er f Dwell g Units
Number gf
@e� ms/Bathrooms Ul
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Stock Plan Number/Options
14R5lr
Radon
Y/
nergy
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w Type of Heat: Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal
Gas ❑Electric 150 amp or less ❑ 200 amp ❑ other Yes ❑ No
1 1 (including labor, material, profit) $
Description of Work: UAZ4 C&�
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Zip Code
Ab
ding Height
11 j�
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led asement Sq. Ft.
Air Sealing/Blower Door
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grad
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J b Contact Name & Phone #: ,
Subcontractor ames:
Electrical �. C �,�a�i C.*. ,Mechanical �/C —� Plumbing ;gjtr
Framer �jGC Rm1,(m Roofing &yyAW A924d Concrete M 4- K
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 herei d city ordina es and state laws regulating building construction.
R
a Signature CSLVJ
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Print Name �%•, Phone M— f
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE