HomeMy WebLinkAbout4144 CENTER GATE CT - APPLICATIONS - 2/18/2005L
wo
cStreet
Address
Is OLf W
0
Company Name
R
Mailing Address
lzo W
6
Phone
CM
J
0
L
y
C
O
c2
Nf
N
BUILDING PER.MrrS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
www.fcgov.com
BUILDING PERMIT APPLICATION
First
Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE.
Ask STme t S)o T
License Number
�n r .Ie ! -7 - I t /
b' y-- 0 7,00
Please Svecifv.-
(V IVr E
Filing Number �Ih
Building Square Footage
�l
Number of Dwelling Units
N I,►
Water Tap Size '3141I
W
Middle
• l�frt4m.0%
LN. DR. CR. WY.
Tz C-i ATE C:
ixxorzFe 4
Block
Number of Stories
Number of Bedrooms B throoms
Radon
9/ N
Sewer Tap Size 411
of Heat: Electric Main Breaker Size (Residential Only)
Gas ❑ Electric Ja 150 amp or less ❑ 200 amp ❑ other
� (including labor, material, profit) $ a,
Description of Work:
WtW S=t4LVLE Fw ayec.:muir E
Phone
State
Zip Code
0
e0rsy
Oa
& Cert. #
�q
V
Zip Code
/mow r��i
CT. RD.
1500
Zip
Building Height
as ,, I I
e7- STA IZ-
,rary Electric Pedestal
Yes ❑ No
it
roo comaci name & Phone #:
SON TSLW Eyem 11114 'blif -0
Subcontractor Names:
Electrical PXAW2 LLC Mechanical fit- HjrJ44 Plumbing ,Av-ew P4.44
Framer WrIAW LAMA /4009Roofing _GOLDS Concrete Iz.CyAS
w_
c
a
a
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply QQZQU
with all
requirements contained herein and city ordinances and state laws regulating building construction.
Signature
t
Print Name .Tnn►*nAd a. %%.44GREfy . Phone 9')d-04-02,oy
8.
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES DAYS FROM APPLICATION DATE