HomeMy WebLinkAbout6857 RANGER DR - APPLICATIONS - 11/21/2002BUILDING PmtmTrs &C INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last First
c Street Address Please Specify: LN. DR. CR. WY. PL. S1 CT RD. AVE.
Mailin Addr s City,
5 rd sit,at
w PhaKe -�
O) 69 -'SOU
Please Specify: LN. DR. CR
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m
J
RD. AVE.
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Building Square Footage
Number of Storl
quilding Height
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AaSS
CP.0
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Number of Dwelling Units
Numbe of roo ms/Bath rooms
ini /Finishe Baseme
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Ad
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Stock Plan Number/Options
Rad
Energy Score/E-Star/Air SealingA
-t
Y
coWa
a Size
p
S werjap Size
Metered
d
T1pelt Heat:
Electric Main Breaker Siz (Residential Only)
Temporary Electric Pedest Requested:
as ❑ Electric
❑ 150 amp or less 200 amp ❑ other
Yes ❑ No
(including labor, material, profit) $ 12
Description of Work:
Job contact
Subcontractor Names:
Electrical Jr' 1 P"'I
LkLL) SPA
Mechanical --.4 r &d(acits Plumbing
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.
R
a Signature
Print Name *1214
S Phone
Distribution. White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE