HomeMy WebLinkAbout6809 COLONY HILLS LN - APPLICATIONS - 4/21/20041 .1 MMAMMIrvimv
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City of Fort Collins
BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Last First Middle
Phone
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CD
Address Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE. City
State Zip Code
Company Name License Number
Supervisor & Cert. #
0 D
Mailing Address City State
Zip Code
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Phone
Please Specify: LN. DR, CR. WY. PL.
ST. CT. RD. AVE. Zip Code
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Subdivision/PUD
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Filing Number Lot :�Co Block Lot Area
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Building Square Footage Number of Stories
Building Height
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Number of Dwelling Units Number of Bedroom /BBahrooms
Unfinished/Finished Basement Sq. Ft.
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Stock Plan Number/Opti ns Rado
Energy Score/E-Star/Air Sealin lower Door
G Y/0
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Water Tap Size Sewer Tap Size
Metered
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Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
k1 50 amp or less ❑ 200 amp ❑ other
6Yes ❑ No
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Description of Work:
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Job Contact Name & Phone #: CJ
Subcontractor Names:
Electrical SS (�-:- L--C LT v-'-4 C' Mechanical
Framer S✓� +c-v-r 6
15
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Plumbing P,9 t C'-4 ��—
Concrete (7 - 7 :�
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.
Signatures�`—Q-
Print Name k—f `, 0,," k-Y) o e� L`L-�
Phone 3 0*�) 3 z 3 s\
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE