HomeMy WebLinkAbout6303 CARMICHAEL ST - APPLICATIONS - 10/2/2002Last
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BUILDING Powns & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760 - Fax 2U-6134
BUILDING PERMIT APPLICATION
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Please Specify: LN. DR. CR. WY. PL. ST. 'ET. RD. AVE.
Footage
LN. DR. CR.
Number of Stories
rooms
RD. AVE.
Phone
Zip
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p Code
Building Height
AT
Door
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Type of Hear Electric Main Breaker Size (Residential Only) Tempo ary Electric Pedestal Requested:
as ❑ Electric 150 amp or less ❑ 200 amp ❑ other Yes ❑ No
11 Q119119111111110 AW1111WIFLE (including labor, material, profit) $ g . 46
Description of Work:
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Job Contact Name & Phone A
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Subcontractor Names:
Electrical Mechanical m 8 t-,hj S Plumbing e, i
Framer i Roofing &Qlrl "S Concrete —r- D
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
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requirements containe herein and city ordinances and state laws regulating building construction.
a Signature
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Print Name f s f�Lf Phone V7Z a / -
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE