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HomeMy WebLinkAbout909 CENTRE AVE - APPLICATIONS - 5/19/2004City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-61M BUILDING PERMIT APPLICATION Las First Middle Phone CD LdiAijc- RA�jA(a CAR 0-17- cStreet Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City State Zip Code 94 0 7vj ) ez 05-269 Company Name License Number Supervisor & Cert. # o Mailing Address City State Zip Code -P ©. —30 2 22(c S- 6 Phone 204- c�io Please Specify: LN. DR. CR. WY PL. ST. CT. RD. AVE. Zip Code Subdivision/PUD atr Dc' TW-A-ax 8*i7 ceUT*-E- ' e CM 122e- T¢A� i L -u, - Fa c .eavAA P0 C, ) 77 CD Filing Number Lot lock Lot Area 1-4 G - �. GOwS Building Square Footage Num er of Stories j % 2 (2� Building Height to �?! T T 41, -✓ -2 �U� 1� l�+pE LNumber o w ling Units umber of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft. gzps XtIA- Stock Plan Number/Options Radon Energy Score/ E-Star/Air Sealing/Blower Door Y/N A., Water Tap Size SewerTap Size Metered ti 0 h L Type of Heat: Electric Main Breaker Size (Residential Only) Electric Pedestal Requested: 913as ❑ Electric ❑ 150 amp or less ❑ 200 amp ❑ otherYes FTemporary ❑ No 1 1 1 Id' Ib ll (mc u mg a or, materta , profit) $ jp 3qp 000 �0a 4) qp6 400 Description of Work: Job Contact Name & Phone 2 A--56 Subcontractor Names: �. Electrical, Mechanical Plumbing A,�,N Framer ANIP I:aui I hereby ac requiremer cc Signaturei Q a Print Name Roofing Concrete that I have read this application and state that the above information is correct and agree to comply with all herAancq;r ordinanc and state laws regulating building construction. W!i►l ' G • . 4YEWAN Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE