HomeMy WebLinkAbout2025 Orchard Pl - Applications - 07/31/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box SW • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Street Address Please Specify., LN. DR. CR.
WY. PL. ST CT RD. AVE.
City
State Zip Code
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Company Name
License Number
Supervisor & Cert. #
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Mailing Address City
State
Zip Code
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Phone
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LN. DR. CR. WY. PL. ST CT RD. AVE.
Zip Code
JOB SITE ADDRESS
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Subdivision/PUD
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Filing Number Lot
Block Lot Area
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Building Square Footage
Number of Stories
Building Height
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Number of Bedrooms/Bathrooms
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Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $ o0
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Description of Work: i -' - 4A I's
Subcontractors:
Electrical Mechanical AlPlumbing
Roofing 1l% Concrete A Framer
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I hereby ackpm4,ed.ge that I have read this application and state that the above information is correct and agree to comply with all
requirement con fined herein �nd city ordinances and state laws regulating building construction.
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Signature
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Print Name ` p ASLr �(� S e l Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE