HomeMy WebLinkAbout4142 HARBOR WALK DR - APPLICATIONS - 11/29/2004Last
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BUILDING PERMTTS & INSPECnONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
www.fcgov.com
BUILDING PERMIT APPLICATION
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,ase Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
License Number
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-�'/(1ns. 60 8,g Ste_
Please
Specify: LN. DR. CR. WY. PL. ST. RD. AVE. Zip Code
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Subdivision/PUD
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Filing Number
Loth Block
Lot Area
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Building Square Footage
Number of Stories
Building Hight
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of Dwelling Units
Number of Bedroo s/Bat rooms Unfinished/Fnished Basement Sq. Ft.
86 y s
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Stock Plan Number/Options
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Energy Score/ E—SStaarr/ it Sealing/BI er Door
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Water Tap Size 3
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Se�+er Tap Size / Metered
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Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric PedestalRequested:
Gas ❑ Electric
❑ 150 amp or less 200 amp ❑ other
Yes ❑ No
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1 1 1 (including labor, material, profit) $
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Description of Work:
Job Contact Name & Phone #: k/r n_70—
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Subcontractor N mes:
Electrical C)zAY31G Mechanical :LN S Plumbing
Framer %,���c ��orsTRoofing �I 9V4r,rf ConcreteS-�=,�,,��
I hereby acknowledge that I hap read this application and state that the above information is correct and agree to comply with all
requirements contained herei and city or . ances and st laws reg, tmg building construction.
.Q I Signature / ,
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE