HomeMy WebLinkAbout6227 CLYMER CIR - APPLICATIONS - 5/8/2003BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 ' Fort Collins, CO 80522,0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
ast ^ First Middle Phone
CD
r)a.r
c
Street Address Please Specify: Lk.D . CR. WY. PL. ST. CT. RD. AVE. City State Zip Code
Smber�/vj�gl Cee
ompany Name,1 6,Uwo�r
o
c
Mailings re e
� City S, ta4�M
k53Zip Cod
, -
21
0'
,! Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
Subdivision/PUD OF
�v
o�
Filing Number ' Lot Block I� Lot Area, 0
Building Square Footage Number of Stories/ Building Height
C.
LNumber
of w Iling Units Numb r f e oms/Bathrooms iS /Finished as ent Sq. Ft.
y
%,
Sty Ian Number/Optio RaQD Energy Score/ E-Star/Air Sealingower o0
Y
Water Ta ,� Sewer. Tap Pke Met r d
y
a�
Heat:
sidential Only)
Electric Main Breaker Sizek2OO
Temporary Electric Pedestal equested:
lot
Gas ❑ Electric
❑ 150 amp or less amp ❑ other
Yes ❑ No
1 1 1 (including labor, material, profit) $ )75.1Q
Description
of Work:
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 ordinagces and state I ws regulating building construction.
White — Office
Yellow — Applicant
Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE