HomeMy WebLinkAbout6227 TREESTEAD CT - APPLICATIONS - 2/26/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last
First
Middle Phone
L
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Street Address Please Specify: LN. DR. R. WY. PL. ST. CT RD. AVE.
City State Zip Code
L
Company Name
icen s umber
Supervis r & Cer . #
L
ailin9 Address
City
tate Zi Code
C
6
Phone
Please
S ecify: LN. DR. CR.
WY. PL. ST CT RD. AVE. Zip Code
S bdivision/PUD
CL
ca
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Filing Number
Lot Block
Lot Area
Building Square- F000ttage
Number of ries
Buildin Height
0
ts
Number of Dwelling Units
Unfinished/�sheclBasement Sq. Ft.
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Tdrooms/Bathrooms
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Stock Plan Number/0 tions
Ra4vo,
Energy Score/E-Star/Air SealinciAlower Door
Y N
Water Tap Size u
SewerT 'Re
erect
y
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Type of Heat:
Electric Main Breaker Size (Residentia Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
❑ 150 amp or less 200 amp ❑ other
Yes ❑ No
1 1 1 (including labor, material, profit) $ '
Description of Work:
Job Contact Name & Phone #:
Subcontractor mes: '
Electrical mD,:::4 Mechanical �� �`�(' Plumbing��1V� C�
Framer S Roofing n � C2 �k� 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 cont e erein and r ty ordinances and state laws regulating building construction.
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a Signat a �}. �jl
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Print Name �{ ''� S1 eJ� Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE