HomeMy WebLinkAbout6903 ROSEMONT CT - APPLICATIONS - 7/7/2004BUILDING PERmrrs & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Middle Phone
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Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE.
City State Zip Code
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Company Name License Number
Supervisor & Cert. #
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Mailing Address City
State Zip Code
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Phone
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Please -Specify: LN. DR. CR.
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WY. PL. ST. CT. RD. AVE. Zip Code
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Filing Number Lgf, „ � Block
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Building S u ire Footage Number of Stories
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Buil ing Height
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Number o Dwelling Units Number f o ms/Bathrooms mini Basement Sq. Ft.
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Energy Score/ E-Star/ Air Sealing/Blg2! Dec
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Water Tap Siz f� Sewe Size
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Type of Heat:
Ele5ric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
as ❑ Electric
150 amp or less ❑ 200 amp ❑ other
es ❑ No
(including labor, material, profit) $
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Description of Work:
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Job Contact Name & Phone
Subcontractor
Electrical
Framer
Mechanical Plumbing
Roofing CPVP� Concrete bZ5 S
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements containe erein a or in s and state laws regulating building construction.
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Print Name 6�647'0 b4127310-j Phone �3 —3
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE