HomeMy WebLinkAbout7433 Stonington Ct - Applications - 07/22/2003BUILDING PERMITS & INSPECTIONS DmSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax =4-6134
BUILDING PERMIT APPLICATION
Last First Middle
Phone
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CDStreet
Address P/ease Specify: LN. DR. CR. WY PL. ST CT RD. AVE. City
State Zip Code
Company Name Li/cc��ense Number
Supervisor & Cert. #
Mailing Address City State
Zip Code
U
Phone
Please Specify: LN. DR. CR. WY. PL.
ST CT. RD. AVE. Zip Code
Subdivision/PUD f
CM
Filing Number Lot Block Lot Area i)CL010
Building Square Footage Number of Stories
Building Height
. 4 ,,
Number of Dwelling Units Number of Bedroom .Bathrooms
Unfinishe / Wished Basement Sq. Ft.
! ! B3
C,
Stick Plan N �ber/_Options Rad
`J
Energy Score/ E-Star/ Air Sealing/Blower Door
Y N
r )
,
Water Tap Ste � Sewer Tap Size
Metered
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T�ipe/Pf Heat:
Elect 'c Main Breaker Size (Residential Only)
Te
po,ary Electric Pedestal Requested:
lffi;Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
(mciumng labor, material, profit) $ c9L 141 4 LP cl
nperrmfinn of Wnr4-
juo t.Oniam Name do Pnone #:
Oy i(QY) Inv -[IV Q-(0-41 L6-rDTO6
Subcontractor Names:
Electrical Mechanical Plumbing�u ;�.i %1 U�'
Framer Roofing I
V(,(ll�-P Concrete
._
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 herei7and y ordinances and state laws regulating building construction.
'a Signature
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Print Name r Phone 903 . f6 /83!
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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