HomeMy WebLinkAbout2808 County Fair Ln - Applications - 02/10/2004BUILDING PERMITS & INSPECTIONS I%IVISION
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P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760 - Fax 224-6134
Cityof Fort Collins BUILDING PERMIT APPLICATION
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Last _ First
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Middle Phone
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Street Address Please Specify LN. R CR. WY. PL. ST CT RD. AVE.
City State Zip Code
(octal 5. Wi I)ow
Co
Company Name License Number
Supervisor & Cert. #
0
5Z73
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Mailing Address City
State Zip Code
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Phone
Pleassee Specily: DR. CR.
60
WY PL. ST CT. RD. AVE. Zip Code
Subdivision/PUD
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Filing Number Lot Block
Lot Area
3 147
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Building Square Footage Number of Stories
Building Height
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Number of Dwelling Units Number of Bedrooms/Bathrooms nfinished finished Basement Sq. Ft.
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Stock Plan N tuber/Options Radon
Energy Score -Sta it Sealing/Blower Door
132-Y /
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Water Tap Size b Sewer Tap Size
Metered
L74y
Type of Heat:
Electric Main Breaker Size (Residential Only)
Electric Pedestal equested:
Gas ❑ Electric
50 amp or less ❑ 200 amp ❑ o77TT-elporary
es ❑ No
1 1101614flUfflflo LIN (including labor, material, profit) $
Description of Work:
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uuu toumaci name & rnone #:
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Subcontractor Names:
Electrical - -rl' I— �- I- ,� Mechanical
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Plumbing
,A/&W
Framer K-t L_ Roofing
Concrete
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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.
Signature
Print Name & Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE