HomeMy WebLinkAbout6233 Treestead Ct - Applications - 05/23/2003CQO�SE�
BUILDING PERmrrs & INSPECTIONS DIVISION
City of Fort Collins
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last First Middle
L&n 1 4F 61A 1
Phone
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03
Street Address Please Specl . DR. CR. WY PL. ST CT RD. AVE. City
State Zip Code
ompany Name rulil 1114a j�W. Licen�Arvisor� tr D- 4
S perf@,lAQ,1�l�l
0
Mailing AddCes;j 61 City byd Ste
SO DOW
Zip Code
w
Phone
Please Specify. N. DR. R. WY PL. ST. CT. RD. AVE. Zip Code
T
�DA5 a.
Subdivision/PU
R
cm
co
Filing Number Lot 19Block 19 Lot Are
Building Square a Number of Stories
�S
Building Height
0
ocF^ta
Number of Dwelling Units Number Bedrooms/Bathrooms
i i /Finished Basement Sq. Ft.
y
� 3 JS
i
Stock Plan Number/Options Radon
Energy Score/ E-Star/ Air Sealin ower Doo
- CRIB Y/
-
Water Size � Sewer Tap Size
3
Metered
GS
Type of Heat:
Electric Main Breaker Size (Residential Only)
Tempo ary Electric Pede tal Requested:
Gas ❑ Electric
❑ 150 amp or less X200 amp ❑ other
^Yes
❑ No
(including labor, material, profit) $ 3c6-�
Description of Work:
S
Job Contact Name & Phone #:
Subcontractor Hames: ^
Electrical S11ry1 �1'� Mechanical
--tiT jr rr()13aC:a b Plumbing d*jj W. A )OtIA j
Frame�j0)-Vl-s4m Roofing �/Op �lt/7 Concrete 114pon
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
a
a Print Name "Q!Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE