HomeMy WebLinkAbout903 THORNHILL PL - APPLICATIONS - 8/12/2002(UA�
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
First Middle
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cify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City
^A� License Number
city, Gall c h_s State60
& Cert. #
RD. AVE.
Subdivision/PUD
7
Filing j umber
^� Block
uC
Lot Area T
Building quare Footage
Number of Stories
Building HV' t
o
Number of Dwelling Urnts
Numgr of Bedroom Unfinished/Fin' hed Basement Sq. R.
Stock Plan Number/Options
Radon
Energy Score/ E-Star Air Sealing/Blower Door
Y/
y
WaterTapSlze g U
Sewer Tap Size
H �� Metered
Type of Heat:
Electric Main Breaker Size (Residential Only)
Tempo y Electric Pedestal Req sted:
19tas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
Yes ❑ No
(including labor, material, profit) $
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Description of Work:
Job Contact Name &Phone
Subcontractor Names:
Electrical ry-&Ce- 6 e\ee!t C.-Mechanical W�OJ5 ��M 4 ChD11 ha Plumbing in'P%n /A�� yL 1,C�S
FramerVt*L`&W"S Roofing &nLak ?—pp-�1'1a� Concrete cJ07('—, W--
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.
R
's. Signature
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Print Name 1 {� KA,¢A( Phone �1(0 — tall
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE