HomeMy WebLinkAbout1006 Belvedere Ct - Applications/Basement Finish - 07/18/2002i�a d
City of Fort Collins
Last.
3 Street Address P. a:
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Mailing Address
L
Phone
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
First
y: LN. DR. CR. WY. PL. ST CT RD. AVE.
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/ License Number
Middle Phone
City State Zip Code
74
Supervisor & Cert. #
State Zip Code
i.CsZ c� Q4G
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Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUD
ev
Filing Number Lot Block Lot Area
Building Square Footage Number of Stories Building Height
0
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
Value of Construction (including labor, material, profit) $ ' �7 OEJ
Description of Work: r�
/
1z —0-
Subcontractors:
Electrical ��,�y�% ,L.f ��'11t��.,, Mechanical „ Plumbing �u
Roofing Concrete Framer,
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 herZanity o dinances and state laws regulating building construction.
Signature
CL
a /
Print Name ! y 1�Lt�s Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE