HomeMy WebLinkAbout6939 BARBUDA DR - APPLICATIONS - 7/16/2002City of Fort Collins
BUILDING PERMM & INSPECTIONS DmSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 22"IM
BUILDING PERMIT APPLICATION
Last First Middle Phone
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cStreet Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. Gil State Zip Code
114 Dal la_4, n. P,,r- f1; 7�� � lIlY1/11'➢/1 t /� XL
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upervisor &e t C. #
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Mailing Address
City State Zip Code
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Phone
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Dr LN. DR. CR. WY.
PL. ST CT. RD. AVE. Zip Code
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Bu' ding Squar Footage
Number of Stories
Buil ing Height
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of Dwelling Units
Number of Bedrooms/Bathrooms nfinished/ niched Basement Sq. Ft.
Sock Plan Number/Options
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Energy Score/E- /Air Sealin Blower or
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Wate,l,Tap ¢ea 4.. ��fti..,(r�
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Sewer Tap Size
Metered
Type of Heat:
Electric
in Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
❑ s ❑ Electric
0 amp or less ❑ 200 amp ❑other
'Yes ❑ No
1 1 1 (including labor, material, profit)
Description of Work:
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Job Contact Name &Phone #:
Subcontractor Names:
Electrical F-isl'k-, Mechanical ntx-V( (l nr1 St4 S Plumbing Cion M I
Framer 646�(n ( S _ Roofing Q! " bL) I Concrete
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.
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Print Name KAe—'kWL,,�� Phone 1-7-0 - +14
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE