HomeMy WebLinkAbout5027 Northern Lights Dr - Applications - 09/02/2003 (2)BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION Qom'
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Please Specify.- DR. CR. WY. PL. ST. CT. RD. AVE. City State Zip Code
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Company Name License Number
Supervisor & Cert. #
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Mailing Addre City r State Zip Co e
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Phone
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Please Specify: (( ' ( LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
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Filing Number ��A Lot Bleek Q�
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Lot Area
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Building Square Footage Number of Stories
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Building Height
Number of Dwelairtg Units Number of Be r oms/Bathrooms Unfinished/Finishgpd Basement Sq. Ft.
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Stock Plan Number Opti ns adon/
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Energy Score/E-StN�Air Sealing/Blower Door
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Water Tap Size Sewer TanSize
/A 9A
Metered
Type of Heat: NIA
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
❑ Gas ❑ Electric
IC(150 amp or less ❑ 200 amp ❑ other
❑ Yes No
w:1INV]MEN] rigik,,h7gill 19 II1►M (incivaing labor, material, profit) $ l rT W>
Description of Work. 11
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Job Co tact Name & Phone #:
13rtcLwa Pre&-m a) 303 4.35-S05
Subcontractor Names:
Electrical i�l Dot uc. Mechanical Q am-rjt4p W" Plumbing
3 V3S= 8o s/
Framer AW4V5 LL-C— RoofingConcrete law K d- K
74
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE