HomeMy WebLinkAbout116 Scott Ave - Applications/Basement Finish - 09/16/2002ifl
City of Fort Collins
BUILDING PERMITS & INSFECnONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
c Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE.
Company Name License Number
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Mailing Address City
Phone
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Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
JOB SITE ADDRESS
Subdivisioni
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CM
Filing Number Lot
Building Square Footage
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Number of Bedrooms/Bathrooms
Block
Number of Stories
Middle Phone
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City State Zip Code
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Supervisor & Cert. #
Lot Area
Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $
Description of Work:
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Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
R
Q
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Zip Code
Zip Code
Building Height
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 herein anS4ity ordinances and state laws regulating building construction.
Signature
Print Name �J u� �(• a15qQ e:,F�S Phone q-1 D, Ztj+,4-6q4
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE