HomeMy WebLinkAbout4144 S TIMBERLINE RD - APPLICATIONS - 2/1/2005F e F Olvol
k ` BUILDING PERMITS & INSPECITONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
City of Fort Collins BUILDING PERMIT APPLIrATION
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Last First
Street Address Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE.
mpaname License Number
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11101
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WY. PL. ST. CT. RD. AVE. Zip Code
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BI k Lot Area
Building Square Footage
Number of Stories
Building Height
umber gf Dwelling Units
Number of Bedrooms/Bathrooms
Unfinished/Finished Basement Sq. Ft.
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Stock Plad Number/Options
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Radori
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Energy Score/ E-Star/Air Sealing/Blower Door
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water lap Size Sewer Tap Size Metered
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Type of Heat: Electric Main Breaker Size (Residential Only) Temporary Electric Pedestal Requested:
OGas ❑ Electric ❑ 150 amp or less ❑ 200 amp ❑ other es ❑ No ie
(including labor, material, profit)
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I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements con . d herein d city ordinances and state laws regulating building construction.
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Print Namc Q �?6 idn Phone q76-6:W-1169
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE