HomeMy WebLinkAbout7409 Fountain Dr - Applications - 05/08/2003ift
City of Fort Collins
BUILDING PERMITS & INSPECITONs DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 a Fax 2:4-6134
BUILDING PERMIT APPLICATION
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Address Please Specify., LN.
DR. CR. WY. PL. ST. CT. RD. AVE.
City State
Co pany Name
LiceeAse Number
Supervisor & Cei
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Mailing Address
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State
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Phone
Please Specify: LN. DR. CR.
WY. PL. ST. CT. RD. AVE.
Subdivision/PUD 1yJ^/ ;
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Filing Number Lot
Block
Lot Area q
Build in q are Footage
Number AStories
Number of Dwelling Units
Number of Bedro s/Bathrooms Unfinishe
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Stock Plan Nu ber/0 dons
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Energy Scare/I
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Y/N
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Water Tap Si 2) t t
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Sewer TaR $izei
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Phone
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Building Heilght
Typeof Heat: EI c 'c Main Breaker Size (Residential Only) Te ary Electric Pedestal Requested:
Gas ❑ Electric 150 amp or less ❑ 200 amp ❑ other Yes ❑ No
Zvi., I I (including labor, material, profit) $15
Description of Work: 0 A
Job Contact Name & Phone #: `B,� j j /p -7
Subcontractor Names:
Electrical �{ �y�;tv� Mechanical Lk ,�Plumbing
Framer KA L_ +-rQ('� irn Roofing aaAed KX—A' Concrete $ p11
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 ore 4Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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