HomeMy WebLinkAbout1320 NASSAU WAY - APPLICATIONS - 8/5/2002City 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
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Street Address Please Specify: LN.
DR. CR. WY. PL. SSTT CCT/1RD. AVE.
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Score/E-Star AirSealin Blower Door
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Water Tap Size
3
Sewer Tap Size Metered
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Tye of Heat:
-Gas
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Main Breaker Size (Residential Only)
Te porary Electric Pedestal Requested:
❑ Electric
50 amp or less ❑ 200 amp
❑ other
Yes ❑ No
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$ b-1").
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Description of Work:It,
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Job Contact Name & Phone #:
Subcontractor Names:
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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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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE