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HomeMy WebLinkAbout6214 Tilden St - Applications - 03/15/2004BUILDING PERM & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134 BUILDING PERMIT APPLICATION Last First Middle Phone L C CD Address Please Specify: LN. DR. CR. WY. P . Y. CT D AV . City State Zip Code W h& L Company Name Lic nse N ber ` Tervisor Te t.L O2 IL AK�Qvq. ailing Address City State Code , U� P ne 6-c) ease Specify: LN. D R. CR. WY PL. ST. CT RD. AVE. Zip Code Mi 111MV6W C T1 J Subdivision/PUD eo o" Filing Number Lot Bg Lot Area Building Square Forootta� Number o Stories Building Height 0 ra Number of Dwe�ing Units Number o Bedrooms/Bathrooms nfinishe 'Wished Basement Sq. Ft. N � CD Stock Plan Number/Options Radon Energy Score/ E Star/Air Sealin lower Door I of Y / N y Water Tap Size 311 Sewer TaRSize , -� Metered Type of Heat: Electric Main Breaker Size (Residential Only) TemX rary Electric Pedestal Requested: as ❑ Electric ❑ 150 amp or less 200 amp ❑ other Yes ❑ No 1 1 1 (including labor, material, profit) $ l' 9%(g,j)o Description of Work: Job Contact Name & Phone #: Subcontractor Names: I Electrical Mechanical Plumbing�N ` \Q Framer _ k- — Roofing---NSMQ Concrete II 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 = Signature Print Name L W-1(\,t1-e_:n�t Phone ,�! ] ©sue Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE N