HomeMy WebLinkAbout6315 WESTCHASE RD - APPLICATIONS - 4/8/2004BUILDING Piatmirs & IIQS EcnoNs Dmsm
P.O. Box SW • Fort Coffins, CO 800W * Phone: 221-6760 • Fax 22"IM
BUILDING PERMIT APPLICATION
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Filing Number
Building Square
0
Number of Owe
V,
Stock Plan Numt
WaterTap Size 7
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Type of Heat:
Gas ❑ E
Description of Work:
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PL ST, CT. RD.
1� l Number of Stories
4)2 N
Sewer Tap Size
Electric Main Breaker Size (Residential Only) Te
❑ 150 amp or less A200 amp ❑other
(including labor, material, profit) $
❑ No
77
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to Zip Code
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Cert. #
Zip Code
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Zip Code
9� 0y�y,
70
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Building Height�v (
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01 ��$�
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Job Contact Name & Phone #:
Subcontractor Nan s• , `/�
Electrical E%' Mechanical Il /rt Plumbing f/�/[ elki
Framer Co - Roofing cn4 Concrete lzle- e
hereby acknowledg I hav re i t and state that the above information is correct and agree to comply with all
requirements contain herei and state laws regulating building construction.
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Signature
Print Name Phone 70 — 377- Z,03 9�
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE