HomeMy WebLinkAbout810 W Mountain Ave - Applications - 08/19/2003`m
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BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last I First
Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE.
81 D &/egj- M nuAltM N A vrNV-C—
Company Name License Number
NeW41L ritsPeconJ SVCO '8-66
Mailing Address City
113 6 foss- s,'ze�,—y2� y
Phone
f,20 yaT 9677
r State
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Supervisor & Cert. #
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Zip Code
C�0) 5z I
Subdivision/PUD /j
CoLOOMI S 14001%70Al
Filing Number Lot Block Lot Area
25 2g/ OD
Building Square Footage Number of Stories Building Heirght
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2
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
.3
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Value of Construction (including labor, material, profit) $ "7s000
Description of Work: �
AoDi�aa Sell S,f ONe Spy vN 0?,fw1 sP c,,,_
Subcontractors: �,
Electrical q/Z*S ZZ 11,� Mechanical (AMG *94ev"t, Plumbing p�W
Roofing s4eL-TP--_ Concrete 0*-.*UaA-L , &M`7 (�C 4,s- ,,,T
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 d city ordinances and state laws regulating building construction.
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a Print Name fyf"tA,i WgPA Phone l70 Yd'Z / 9i6
Distribution: Original — L & P Yellow — Office
Phone
�reZ- 19 -76
Please Specify., LN. DR. CR. WY. PL, ST CT RD. AVE.
JOB SITE ADDRESS �rl U (,Jnsrj 14VO e..
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