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HomeMy WebLinkAbout969 NIGHTINGALE DR - APPLICATIONS - 12/24/2003 (2)City of Fort Collins BUILDING PERMITS Bit INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 22"134 BUILDING PERMIT APPLICATION Last C,( le 11 5� First Middle Plfone CL)- 971 4 7 cStreet Address Please Sp cify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City State Zip Code 6 Company Name License NumberJ Supervisor & Cert. # L Mailing Address C ity State Zip Code 0 B-0A -27 • z L6 F-Dr+ c U Phone 111 ' grl '?C — t) I oo Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE. Zip Code 1: �11' 1 f C© Subdivision/PUD .°i Cn F II on - 1. Filin ` umber Block Lot Area ot 7 Building Square Footage Number of Stories Building Height o J,3210 , W Number of Dwelling Units Number of edrooms/Bathrooms Unfinished/Finished asement S . Ft. .�Stuk Pla Number/Op ions Radon Energy Score, E-Star Ir ealin lower Door �'� Y/N y Wat rT p Siz SewerTap Size Metered y 1( 4,I Type of Heat: Elec4'c Main Breaker Size (Residential Only) TeVYes ry Electric Pedest equested: as ❑ Electric 50 amp or less ❑200 amp ❑ other ❑ No (including labor, material, profit) $ Description of Work: Job Contact Name & Phone #: Subcontractor Fames: Electrical &rWorV Mechanical r 00M-(;r-4— Plumbing Allen Lw h i na Framer Roofing A1UjaMLQj V4 Concrete II 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 a v Print Name T__n&�-,11 Wi lI I AMA Phone ?P 20_ Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE PM