HomeMy WebLinkAbout1332 Truxtun Dr - Applications/Single Family New - 06/05/2003b M
City of Fort Collins
BUILDING PERMITS &i INSPECTIONS Drvism
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE.
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Please Specify: LN. DR. CR.
WY. PL. ST CT RD. AVE. Zip Code
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Water Tap Size Z fl Sewer Tap Size
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El ctri Main Breaker Size (Residential Only)
Te o ry Electric Pedest Requested:
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
r r (including labor, material, profit) $ 3 �3.3
Description of Work: /- n A
Job Contact Name &Phone #: / ?, IV �f� r1 ".7,05 L/
I hereby acknowledge that I have read this
requirements contained herein an orc
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Q. Signature
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0d state that the above information is correct and agree to comply with all
state laws regulating building construction.
;,''e— Phone �. `" /7ag2�95
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE