HomeMy WebLinkAbout6126 CLAIRE CT - APPLICATIONS - 6/1/2004BUILDING PERmrrs & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
Last
First MiddlePhone
C'
CDStreet
ress Please Specify: LN. DR. CR. . PL. ST CT. RD. AVE. City
State Zip Code
Co ny Name
License Number upervisor & Cert. #
0
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M" A ss
Ulty to
'p Code
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Phone
Please
Specify: r LN. DR. CR. WY. PL. S . C
RD. AVE. ZiLCocle
Subdivision/PUD
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R410-r
O1
2
/;/A<4
Filing Number
L Bloc Lot Area
Building S are Footage
Number of Stories
C,
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yNumbe
of D elling nits
Number of Bedrooms/Bathrooms
Unfinished/Finished Basement Sq. Ft.
:31o�
Stock Plan Number/Options
Radon Energy Score/E-Star Air Sealing/Blo r Door
Y/N
aterTap
Sewer Tap Size
e
eter
,M2D
TyLeofe-He'at:
Electric ain Breaker Size (Residential Only)
Temporary
ec is Pedestal equested:
s ❑ Electric
150 amp or less 11200 amp ❑ other
❑Yes
o
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Description of Work:
Job Contact Name & Phone #:
Subcontractor
Electrical
Framer
e
Olt
I hereby ackr
requirements
-a Signature
Q.
a
Mechanical Plumbing
ng
Concrete
that I have read this application and state that the above information is correct and agree to comply with all
herein a, ity ordinances and state laws regulating building construction.
Print Name Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE