HomeMy WebLinkAbout4745 Boardwalk Dr - Applications - 03/24/2004 (2)dh
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATIOI
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Street Address Please Specify:
LN. DR. C . WY. PL. ST. Ci. RD. AVE.
Clty State Zip Code
03
Company Name
_ License Number
Sales Tax Number
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Mailing Address
City
State Zip Code
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Phone
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Pleas D CR. WY. PL. ST. CT. R0. AVE. / �� Zip Code
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Subdivision/PUD
'PARCEL NUMBER"
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Filing Number
Lot Block
Lot Area
Building Square Footage
Number of Stories
Building Height
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Number of Dwelling Units
Number of Bedrooms/Bathrooms Finished Basement Square FootaIt
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Stock Plan Number
Options
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Water Tap Size
Sewer Tap Size
Metered C
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Type of Heat:
Electric Main Breaker Size (Residential Only)
9�as ❑ Electric
13150 amp or less 0200 amp
❑ other
Value of Construction (including labor, material, protit) n g Q
Description of Work: Fr- D F-LI
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Subcontractors:
Electrical 14 d- Mechanical fo � �N� Vb 11EYPlumbing �'Y1 • � � 1412 -D Roofing
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements donxained herein �kd city ordinances and state laws regulating building construction.
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Print Name E A-n y 465: - NJ a 12-2 r L Phone 97 b - Z2 Cam, — 2-Z(0 (-
Distribution: Original - L & P Green - Office Canary - Stormwater Utility Pink - Water Utilities Goldenrod - Applicant