HomeMy WebLinkAbout5968 Snowy Plover Ct - Applications - 01/28/2004LAM!Ih!
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DmSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
La t First
CD Address Please Specify: L DR. CR. WY PL. ST. CT. RD. AVE.
Copipany Name pense Number
M i mg Ad re s 'City
c /V
3 Phony
iddle Phone
ty State Zip Code
r�esa-�se specrry: LN DRCR. WY. PL. ST CT. RDA
1 ' i E. /
1 : 1 d [mod IZ*L'0�ptT.L ` COG l/VS
Subdivision/PUD A f
CMCD
Filing Number
Lot Block
Lot Area
Buildin Square Foot We
�!
Is-jp of,**umber of S ories
B
�
Numbe�f Dwel Units
Number of Bedrooms/
throoms Unfinished/Fir
AITA
C+
Stock Plan Number/0 tions
p
Radon
/E-Energy Sco St,
/N
y
Water Tap Si a
Sewer T p Size
IV
d
,,
T e of Heat:
Electric Main Breaker Siz (esidential Only)
Temporary Electric Pedestal
Gas ❑ Electric
❑ 150 amp or less 00 amp ❑
other
Yes ❑ No
(including labor, material, profit)
Description of
Zip Code
Requested:
joo comact Name & Nnone #:
Subcontractor Names:
Electrical .�E Mechanical //- Plumbing
Framer Z&36evFS Roofingj6g&A�'Concrete
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.
R
w
Q. Signature �
c Print Name �L-1 /� /2�ISe/✓ Phone � f �714
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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