HomeMy WebLinkAbout700 Breakwater Dr - Applications/Addition or Alteration - 12/04/2002TO
City of Fort Collins
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Co ny Name
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JOB SITE ADDRESS
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Filing Number
BUILDING PERMITS & INSPECTIONs Dmsm
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Specify: LN. R. CR. PL. T. CT. RD. AVE. City State Zip Code
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`� License Numbe�D fir_____ Supervisor & Cert. #
Cit"� State
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Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
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Lot 19 Q - Block Lot Are
. I Building Square Footage Number of Stories
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
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Zip Code
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Zip Code
Building Height
Value of Construction (including labor, material, profit)3----
Description of Work: ® jam' 4)
rrical ^ /`Z�-P Kam- Mechanical f 0" d l-e- " Plumbing W-0e
Roofing
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I hereby acknowledge that I have read As applic tion and stat hat the above information is correct and agree to comply with all
requirements contained herein an i rdinanc and tate s regulating building construction.
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Signature
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Print Name Phone
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Distribution: Original - L & P Yell Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE