HomeMy WebLinkAbout6708 Autumn Ridge Dr - Applications - 03/21/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 2^4-6134
BUILDING PERMIT APPLICATION
Last
First
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cStreet
Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE.
City State Zip Code
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Company Name
License Number
Supervisor & Cert. #
Mailing Address
City
State Zip Code
..
Phone 3 a 3 3 Z3
Please
Specify: LN. DR. CR.
WY. PL. ST. CT RD. AVE. Zip Code
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Subdivision/PUD c r"
P +20 La f vv C--F—t'v
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Filing Number Z
Lot 1 y Block
Lot Area 1 CI
Building Square Footage
Number of Stories
Building Height
0
1 i 15
'Z
3 n I,,,- lc
Number ofDwellingUnits
Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. R.
3
Stock Plan Number/Options
Rad
Energy Score/ E-Star/Air Sealing/Blower Door
13 s o y, -1
Y K)
3 a t i z. �CJ6 C512
y
Water Tap Size 314
`l Sewer Tap Size
Metered
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Type of Heat:
Electric Main Breaker Size (Residential Only)
y Electric Pedestal Requested:
Tern;Zs
❑ s ❑ Electric
150 amp or less ❑ 200 amp ❑ other
❑ No
WARINDIMMU1110191
(including labor, material, profit) $
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Description
of Work:
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Job Contact Name & Phone #:
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Subcontractor Names:
Electrical S3 c_ Mechanical Povorr-f- Plumbing
Framer S114-tc-07A C-S-0((—Dti2-SRoof ing Cj9-mP(-5L--L-L- Concrete �"����5�V,,,j
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
M
requirements contained herein and city ordinances and state laws regulating building construction.
R
o. Signature—P--t-'v
c.
a
Print Name
Phone 3C)3 323 l k3�
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE