HomeMy WebLinkAbout2820 County Fair Ln - Applications - 02/27/2004ii;'{'" BUILDING PERMITS & INSPECTIONS DIVISION
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RO. Box 580 • Fort Collins, CO 80522.0580 • Phone: 221-6760 • Fax 224-6134
City of Fort Collins BUILDING PERMIT APPLICATION
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Street Address Please Specify: LN. 4DCR. WY. PL. S1 CT. RD. AVE. City
State Zip Code
90
Company Name
License Number IF
Supervisor & Cert. #
Z — -73
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Mailing Address
City State
Zip Code
C
Phone
Please
Specify: N DR. CR. WY. PL.
ST. CT. RD. AVE. Zip Code
2620Cau.� a-fr L�'�
8dSZ7
Subdivision/P D
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Filing Number
Lot Block Lot
Area
19
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Building Square FootVge
Number 0f tories
Building Height
0
0 (10
Number of Dwelling Units
Number of edrooms/Bathrooms
Q=ishe Finished Basement Sq. Ft.
Stock Plan Number/Options
Radon
Energy Score/ ar ' Sealing/Blower Door
3 o
Water Tap SizeF Gj
IdD
Sewer Ta Size
Metered
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Type of Heat:
Electrip Main Breaker Size (Residential Only)
Temporary Electric Pedestal quested:
as ❑ Electric
150 amp or less ❑ 200 amp ❑ other
es ❑ No
r r r (ineludin labor material rofit) $ 9 e z / S7
Description of Work:
Job Contact Name & Phone #:�,) _ I
Subcontractor Nam:
Electrical S� �749/GG Mechanical /V//�—c5 Plumbing
Framer /��` L— Roofing �4>f41 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.
'a Signature
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Print Name erc,,�C,14 �G�!//h Phone :?03' 8 Z
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE