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HomeMy WebLinkAbout6944 ROSEMONT CT - APPLICATIONS - 12/21/2004BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Colons, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134 www.fcgov.com BUILDING PERMIT APPLICATION ic_f3 H 6 m 3 Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. o Sal -I S S 0-u Cd3 S -r h` 30U Company Name License Number Sp� im A S A- U F- Mailing Address City C Phone 3d3 3 Z3 i 13 Lfy-)-Tt- Vry IK\L Supervisor & Cert. # -Z-C> (c 'L Phone C_o ? O I t Zip LN. DR. CR. WY. PL. ST. CT. RD. AVE. Lip t;oae WNZWP—teaseSp;ci�fy Subdivision/PUDCM R 3 Filing Number Z Lot Z Block Lot Area 5 Ci 5 y Building Square Footage Number of Stories Building Height 3o rm0-,4 Z Number of Dwelling Units Number of Bedrooms/Bathrooms Unfinis d/Finished Basement Sq. R. —t -Z-Z 3 f Z.- Stock Plan Numbe /Options Rado Energy Score/ E-Star/ Air Sealin lower Door I Y / Water Tap Size " Sewer Tap Size Metered CA 3�y Type of Heat: ectric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested: trYes ❑ No Gas ❑ Electric 150 amp or less ❑ 200 amp ❑ other II (including labor, material, profit) $ -2 Description of Work: 'M Z. 3 S 19 l.3 Job Contact Name & Phone #: ..r 3 d Subcontractor Names: Electrical b"t Mechanical P 1 fl PO-01a L)C-15 Plumbing Framer StA %CO -'A r3u i '1-0� Roofing C-TY'P OE- — e f R� Concrete 1= w CL a I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. Signature N v{ Print Name L--Iat� VU Phone 303 3 3 ! ► 3 3 Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE