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HomeMy WebLinkAbout6933 ROSEMONT CT - APPLICATIONS - 10/22/2004BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134 www.fcgov.com BUILDING PERMIT APPLICATION Last First Middle Phone ��13 I—;ornF— c Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City State Zip Code S q CQ _ v F .. 3 E- L S iv •T E_ W v r ` CCU Lz D i i I Company Name License Number Supervisor & Cert. # o S f9 rvi iF f9 S 6 U F- C Z g -1 ZLila Z Mailing Address City State Zip Code c c Phone 3�3 3z3 II 3 3 Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. Zip Code 1 : (.o Ct 3 3 rLv S E li YI 0 ry 'T C c) L-,, r-L- -T Subdivision/PUD CM CD Filing Number Z Lot Z 2--7 Block Lot Area 5 Q 3 l Building Square Footage Number of Stories Building Height Iy- 1< LNumber of Dwelling Units Number of Bedrooms/Bathrooms Unfinished/Finished Basement Sq. Ft. � `-1 � z ►v j (� �, Stock Plan Number/Options Rado Energy Score/E-Star/Air Sealing/Blower Do 1 Z S Y / N. ,J (3 L� >vrZ p © © rx, Water Tap Size SewerTapSize Me t d � f ti y ere Typ of Heat: ElR150 ic Main Breaker Size (Residential Only) Te porary Electric Pedestal Requested: Gas ❑ Electric amp or less ❑ 200 amp ❑ other Yes ❑ No r r i (including labor, material, profit) $ i 9"L4$ Description of Work: Z C_ir-�-12 Jon Contact Name & Phone #: 'T C) rY' C- u tz rz f 3 c) 3 Li G Subcontractor Names: Electrical f3 6 '-�-ry E- -EL T Mechanical f� i rz- P tw 0 U C-;'i S Plumbing Framer C,riE E. t-C-,A i Roofing rr'ETrz-' C- rL-00Fi tvG Concrete rl-E-E'%' `-E-jck E_ I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all C5 requirements contained herein and city ordinances and state laws regulating building construction. a SignatureCL a Print Name Phone �) 0 3 3Z 3( 1 3 3 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE