HomeMy WebLinkAbout827 Apex Dr - Applications - 01/23/2003 (2)BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760 - Fax 224-6134
BUILDING PERMIT APPLICATION
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Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. City
3,W 9 —roa)n 64,
State Zip Code
CO
Company Name License Number Supervisor
& Cert. #
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Zip Code
6
Phone
Please Specify. LN. DR. CR. WY. PL. ST. CT. RD.
AVE. Zip Code
$2i Apey D/�. miif A
Subdivision/PUD
Pio n a" P—lu -rOcvn ha�S PO 13
Filing Number Lot LL O Block Lot Area 1119
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Building Square Footage -j 5 Number of Stories 2—
Bull di fight
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Number of Dwelling Units Number of Bedrooms/Bathrooms
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Unfinished/fwffahed Basement Sq. Ft.
7 to
Stock Plan Number Options
5 /0 4 11 r W,- orcti 7 i
45/v
R
Water Tap Size ,
Sh o-rec�C �`+
Sewer Tap Size / / ��
Metered
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
= (including labor, material, profit) $ 9 6, 3 0.5'
Description of Work: A f /? n 5 �v . _ f 0/1 1 ens /6 Am r &
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements Wntained herein and city ordinances and state laws regulating building construction.
Signature
Print Name
Phone 2/ 7 1 S q-Z
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater