HomeMy WebLinkAbout2425 Leghorn Dr - Applications/Electrical - 09/08/2018(All owner Information Is required — it
City
CONTRACTOR INFO: Company Name
Contractor Phone #•
Uc Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address-YA//L5 �� City State �Zips =
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
16' Floor Sq Ft
2n0 Floor Sq Ft
3'" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/s Baths # of Fireplaces
Air Conditioning. Yeaou Energy info:( Circie appropriate choice) 1.ComCheck0 2. ResCheck w/Air Sealing
11
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Dool
City of For Collins Stock Plan # List appropriate option #s
tMLITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑No1_1 Temp. Pedestal Yes[] No El
Type of HeatEl
Gas ❑Electric Electric Main Breaker Size (Residential only) N150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor. material & profit) I,-
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Contact Name & Phone # of JOSSITE SUPERVISOR:
• c--�-...+ractor Info•
Electrical Mechanical
Roofing
--
Other Other Other
agdiowledge that I have read this application and state that the above Irdorrnation Is correct and agree to comply with altrequlrg
tnd Ct1y of Fort Collins o an and state laws regulating building oo1n-strucUon
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