HomeMy WebLinkAbout402 Peyton Dr - Applications - 01/30/2003i�
City of Fort Collins
BUILDING PERMITS & INsPECTIONs DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 2M-6134
BUILDING PERMIT APPLICATION
Last First
CD Address Please Specify: LN. DR. CR. WY. PL. ST. CT R,(D_. AVE.
Com.Danv Name License Number
City
Nnone
State Zip Code
661f4 �&
Supervisor & Cert. #
4col, AWL)
Subdivision/PUD
C �(
Filing Number Lot A.5 Block 0 Lot Area
Build" n Square Footage Number of tones
Number of Dwelling Units Number of Bedro s/Bathroo
IN 15
�, Stock Plan u ber/Options Rado
1� Y/
y ater Tao Size , i a SewerTap Piz
;M ` t !.�
Type of Heat: El ctr' Main Breaker Size (Residential Only)
,Gas 0 Electric /150 amp or less ❑ 200 amp ❑ other
(including labor, material, profit) $
.7�
Zip Code
Building Height
441rtI Qif
nary Electric Pedestal Requested:
Yes ❑ No
�5la40
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 hereiVanndd ity ordinances and state laws regulating building construction.
a Signature
CL
Print Name Phone -�RZ' 966 -14?S%
Irk
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE