HomeMy WebLinkAbout421 PEYTON DR - APPLICATIONS - 3/24/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-MBO • Phone: 221-6760 • Fax 2:4-6134
BUILDING PERMIT APPLICATION
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Street Address Please Specify. LN.
DR. CR. WY. PL. ST. �T. RD. AVE.
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License Number
Supervisor & Cert. #
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Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE.
Subdivision/PUD
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Filing Number 3 1 Lot 911
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Number of Dwelling Units
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Typ f Heat: Electric Main Breaker Size (Residential Only) FT&TZmrary Electric Pedestal Requested:
as ❑ Electric 150 amp or less ❑ 200 amp ❑ otherYes ❑ No
1 1 1 2 (including labor, material, profit) $ 14 U e)roo , T5
Description of Work: 1 UJO vv c ,�\ j
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Job Contact Name & Phone #: r
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Subcontractor. Names:
Electrical R4 A FJO (, Mechanical 60VC21M Plumbing e ' 1 l.Cf77
Framer w � L- Ro*iIaA Roofing &Voila, (� �A Concrete �I
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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.
Signature
Print Name Core, l�wi Phone 3®3--466 1VI
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE