HomeMy WebLinkAbout7450 Stonington Ct - Applications - 12/28/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
www.fcgov.com
BUILDING PERMIT APPLICATION
Last First
cStreet Address Ple se Specify. LN. DR. CR. WY. PL. ST. CT. RD. AVE
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Company Name Licente Number
s SA C 2. -3S--
Mailing Address City
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C.3 Phone
Please Specify. 0
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Subdivision/PUD
166 wo N pus
-J Filing Number
Lot Block
Building S uare Footage Number o Stories
0
Number o Dwelling Units Number of edroc
N
Stock Plan Number/Options Radon
15-(Q 3 / '2 -:; (a Y A')
3 l Y ff
Type of Heat:
Id Gas ❑ Electric
Description of Work:
Middle
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Supervisor & Cert. #
WY. PL. ST. CT.
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Phone
66--1�3J
Zip Code
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Zip Code
Zip Code
Building Height
Lg FA
Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal Re
150 amp or less ❑ 200 amp ❑ other Yes ❑ No
l (including labor, material, profit) $ Sl S S
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Door 143
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Job Contact Name & Phone #:
Subcontractor Names: r
Electrical N ` N ( tQ C— Mechanical i bSc 40-'�i2q Plumbing +4W�ftL1 P U w�l� 5
Framer K G ( 6r-6, .t y t0 Roofing /Ql�t/f�-CEd �"ti'A Concrete L -F a- �r��o�c���1 �
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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.
Signature - , A- , —L , o _R
Print Name s `� Lo QY-i Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE