HomeMy WebLinkAbout918 RICHMOND DR - APPLICATIONS - 8/9/2002City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last
First Middle Phone
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Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City State Zip Code
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12 . -0 Faf_T CDI--LJr S CD 90-S
Company Name
License Number
Supervisor & Cert. #
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1922.
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Mailing Address
City State Zip Code
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D52-14
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Please Specify:
LN. DR. CR. WY. PL. S1 CT. RD. AVE. Zip Code
IC
�11'
Subdivision/PUD
A
CM
Filing Number Lot
Block
Lot Area
Building Square Footage
Number of Stories
Building Height
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Number of Dwelling Units
Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft.
Stock Plan Number
Options
CAWater
Tap Size
Sewer Tap Size
Metered
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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 9 1 (including labor, material, profit) $ 1 L-6, 4 LcD
Describtion of Work:
Job Contact Name & Phone #:
Subcontractor Names:
Electrical r,1 8S r )rq 1=1 1 C Mechanical ia-STA LJ_ OnL pA Df7Plumbing _P)e [) PL. I oY 611V%
Framer S a/ F Roofing N1 Other N %
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.
a l Signature 1) n P a r) C
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Print Name m1('/C/ ti )P_kN ►pYG Phone 4-7Z)22-7LJLl94,
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
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