HomeMy WebLinkAbout7262 Fort Morgan Dr - Applications - 09/29/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DmsioN
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 22"1,M
BUILDING PERMIT APPLICATION
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Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City State Zip Code
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Company Name
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Lice se Number
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Supervisor & Cert. #
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Mailing Address
City State Zip Code
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Phone
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
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Subdivision/PUD ,
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Filing Number
Lot 3 Block ®
Lot Area
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Building Square Footage
Number of Stories
Building He' ht
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Number of Dwelling Units
Number of Bedroo s/Bathrooms nfinish inished Basement Sq. Ft.
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Stock Plan Numb /Options
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Energy Score/E--SSttar/Air Sealing/Blower Door
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ter Tap Size
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Sewet ? Size
Metered
Ty e f Heat:
E c 'c Main Breaker Size (Residential Only)
Tern orary Electric Pedestal Requested:
Gas ❑ Electric
t50 amp or less ❑ 200 amp ❑ other
Yes ❑ No
Ruenn.u191U1C� tmcivamg iaaor, material, profit) $
Description of Work:
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Subcontractor Names:
Electrical N- Pp 0 { yi 0 Mechanical
Framer L RYA 1(61 Roofing j
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-Plumbing
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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.
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Print Name t�riu f✓e�y�/ Phone 303 — ¢GG - le&l
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE