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HomeMy WebLinkAbout1002 Nightingale Dr - Applications - 08/06/2004 (2)v v BUILDING PERMITS & INSPECFIONS DIVISION P.O. Box 580 • Fort Collins, CO $t 5522 OSM • Phone: 221-6760 • Fax 22461M BUILDING PERMIT APPLICATION W.TiVLW*71$%# VOW � � 1 L CDStreet AddreM Please Specify LN. 001. CR. WY. PL. ST. CT. RD. AVE. ME m Filin Number Vv Building Square Footage Number of Dwelling Unit Stock Plan Number/Optio Water Tan Size f Ty VHeat: as ❑ Electric 1 Blo Number of Sto Number of i ei Radom Y (N ) Middle sor PL. ST. CT. RD. ? iD Main Breaker Size (Residential Only) Ter 50 amp or less ❑ 200 amp ❑ other ing labor, material, profit) $ ■ k Phone P_9 Height uested: aoo toomaci name & rnone *: Subcontractorihmes: Electrical 1.1e6t9i.tl- F-1AIL6 Mechanical Q,('A, l'.ai.rnnL+ Plumbina 111L1n T; #, Imo,1.11,n rramer Roofing t .,�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 herein and city ordinances and state laws regulating building construction. cSignature It Print Name I kA L j A V -N Phone �Qr7 —IDLi—© n ) IVA 1 Distribution: White — office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE