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HomeMy WebLinkAbout7127 Brittany Dr - Applications - 07/07/2004BUMVING PB tmns & INSPwnoNs DmslON P.O. Sox SW • Fort Collins, CO SM22-OW • Phone: 221-6760 • Fax 224-61M BUILDING PERMIT APPLICATION Last First Middle Phone' d coStreet Address Please Specify: LN. DR. CR. W .. P ST CT. RD. AVE. City State Zip Code Company Name License Number Supervisor & Cert. # o Sft— els-S ovE- C>- 313 tC7 L Mailing Address City State Zip Code C w Phone 3ca3 3z3 tt33 Ire Please Specify LN. DR. C PL. ST. CT RD. AVE. Zip Code 7 )" 0 W IIJ CM Filinytmber LDS � Bloc Lot Area ' Building Square Footage 2- 3. © C>, Number of Dwelling Units �, Stock Plan Number/Options t UP 0 5, % t , y , k4 :r Type of Heat: Of Number of Stories 2- Number of Bedroor Radon Y /(Rp Sewer Tar Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested: 04wamp or less ❑ 200 amp ❑ other )Yes ❑ No (Including labor, material, profit) $ z -4 %. 3 c5 . 3 Job Contact Name &Phone #: Subcontractor Names: Electrical 3r+-rti-ram 5 i---F-C-"f Mechanical A-i rt P t-L-0 0 uc-T 'S Plumbing pw (Y'i Q> r,,J G �=-n- Framer S + � 3 v r '-OE2S Roofing C "v) p r:S C--La- 3CA"l-rLD Concrete e -i- -Y r\-3 e-3 I hereby acknowledge that f have read this application and state that the above information is correct and agree to comply with all .. requirements contained h in and rr ltt ces nd state laws regulating building construction. m a Signature Print Name �'' ' " Phone Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE