HomeMy WebLinkAbout325 Cherry St - Applications/New Commercial - 02/09/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522.0580 • Phone: 221-6760 • Fax 224-6134
City of FortCollins BUILDING PERMIT APPLICATION
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Last First
C AMbit
Middle
Phone
,H E,,.�T
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cStreet
Address Please Specify. LN. DR. CR. WY. PL. ST CT. RD. AVE.
City
State Zip Code
0501 l.U910P_ y FOLT
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Company Name License Number
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Supervisor & Cert. #
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Mailing Address City
State
Zip Code
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Phone
970-�1�0- l SS
Please Specify: LN. DR. CR.
WY PL
ST CT RD, AVE. Zip Code
S �Aat e, yuja
Subdivision/PUD
Ca
CM
Number L BI ck
Lot Area
Building SaIjare Footage Number of Stories
Building Height
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1� 7-
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Number of Dwelling Units Number of Bedro ms/Bathrooms
Unfinished/Finished Basement Sq. Ft.
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Stock Plan Number/Options Radon
Energy Score/E-Star/Air Sealing/Blower Door
Y nN
y
Water Tap Size Sewer Tap Size
Metered
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
%Gas ❑ Electric
❑ 150 amp or less ❑ 200 amp ❑ other
❑ Yes ❑ No
1 1 1 (including labor, material, profit) $
Description of World
Ci4�J Qowse-S 9g) �855
Subcontractor N es:
Electrical L.E„4J&%C— Mechanical ��LyO.hFctQ.T Plumbing
Framer �/�*� PL dL „Lp_5 -Roofing`
_� Q, QAOf=�r.�, Concrete �cEl,SduJb
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements con d h cl o inances and state laws regulating building construction.
Signaturec2 k �, ~ 6 i
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Print Name _"�A Q Pp Fog Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES OW DAYS FROM APPLICATION DATE
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