HomeMy WebLinkAbout909 CENTRE AVE - APPLICATIONS - 2/22/2005City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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Co ny Name License Number Supervisor & Cert. #
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Mailing Address / _ City--
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State Zip Code
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Specify:LN, DR. CR. WY. PL. ST. IT. RD. AVE. Zip Code
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Filing Number 1Lot BI (�� ck Lot Area �O
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Building Square Footage Number of Stories B flding Heig
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of Dwelling Unfts, Number of Bedrooms/Bathrooms Unfinished Fred Basement Sq. t.
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Stock Plan Number/Options Radon Energy Score/ E tar/Air Sealing/Blower Door
Y/N
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Water Tap Size Sewer Tap Size Metered
61
Type of Heat:
Electric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
❑ Yes ❑ No
1 1R1992M (including labor, material, profit) $/la���,4 Z.
Description of Wo * %&a QaYu4Q
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE