HomeMy WebLinkAbout2227 Brightwater Dr - Applications/Single Family New - 02/18/2005City of Fort Collins
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
www.fcgov.com
BUILDING PERMIT APPLICATION
Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City
e
Please
Specify: LN. DR. CR. WY. PL.
ST. CT. RD. AVE
bdivision/PUDI
T'_aj
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ng Number
L t — Block La
re
Building Square Footage
ftjmber lories
o
of Dw lling Units
Number of B irooms�throoms
Unfin
HNumber
Stock Plan NuJnbe r/Ot'tlons I
2 adon I
Energy Sc
N
y
Water Tap Size
�I rerTapSize
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
'
1 1 a1 (including labor, material, profit) $
Description of Work: G- ! , _i��`
Phone
p
Zip
Building eight
� '" _/P',
Air Sealing/Blower Door
Requested:
,Cll�t�
Job Contact Name & Phone #: , A r
Subcontractor Names: v
Electrical Mechanical 5 iufbing l�
Framer Roofing Concrete .�(C•...��Y►�
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 estate laws regulating building construction.
� Print Name �►-v� t , ���`�� Phone 3 0
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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