HomeMy WebLinkAbout2121 MIDPOINT DR - APPLICATIONS - 3/10/200515 sz—
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
iiA B D P IT APPL ATIO
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Type of Heat: Electric Main Breaker Size (Residential Only) FTemporary Electric Pedestal Requested:
❑ Gas ❑ Electric ❑ 150 amp or less ❑ 200 amp ❑ other ❑ Yes ❑ No
r r r (including labor, material, profit) $
Description of Work:
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Job Contact Name & Phone
Subcontractor Names:
Electrical CTl� ztcy Mechanical f�tyL ,.u%—�K.�% Plumbing 14meal
Framer ��s,� aV -5"g2ey— Roofing D AAlL2EIA)Concrete �,y
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I hereby acknowledge that I have read t is application and state that the above information is correct and agree to comply with all
require$nEflT�con ein and cit ordina state laws regulating building construction. _
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Distribution: ite - ffice low - Applicant Pink - WWW/Stormwater 2 o 2 L G
HIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE