HomeMy WebLinkAbout2712 W Lake St - Applications/Addition or Alteration - 03/10/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Street Ad ress Please Sec' . LN. DR. CR..WY. PL.�q Cr. RD. AVE.,_
City
Stat Zip Code
Comp ny Name
License Number
Sales Tax Number
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Please Specify: LN. DR. CR. WY. PL. T CT. RD. AVE.
Subdivision/PUD
*PARCEL NUMBER*
Filing Number
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Lot Block
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Building Square Footage
Number of Stories J
Building Height
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Number of Dwelling Un
Number of Bedroo s/,Bathrooms
Finished Basement Square Footage
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Stock Plan Number
Options
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Water Tap Size
Sewer Tap Size
Metered
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Type of Heat:
Electric Main Breaker Size (Residential Only)
❑Gas ❑ Electric
13150 amp or less ❑200 amp
❑ ther
value or construction pnciumng labor, material, profit) // N
Description of Work: f�77
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Subcontractors:
ElectricalC Mechanical Plumbing Roofing
I hereby aerriowledge at I have read this appl tion and state that the above information is correct and agree to comply with all
requirements contained , an_d ' ofdin.... cas an laws regulating building construction.
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Distribution: Original - L & P Green - Office