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HomeMy WebLinkAbout700 Breakwater Dr - Applications/Addition or Alteration - 12/03/2002City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION Las First 1za c Street Address „Please Specify: LN. DR. CR. y Comtaanv Name —V / 1"- t5 Mai ing Address 0 a© " I Phone/- U JOB SITE ADDRESS Subdivision/PUD Filing Number PL. ST CT. RD. AVE. ,nse Number 1)rler�e U,.0 At S, 7 6_35-2�- Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. -�J Lot Block Building Square Footage 0 0 imumDer oT tsearooms/bainroomS 0 c01 Number of Stories Middle Phone I State Zip Code Supervisor & Cert. # State Zip Code f� fTC-/ems Zip Code v) Lot Area Finished Basement Square Footage Value of Construction (including labor, material, profit) $ Description of Work; Building Height Subcontractors: Electrical fi r-'oR11.)E'jJ Mechanical &Je(2cA Plumbing 5•ejo C� Roofing Leh] :rr ► Concrete Framer e-�p'e:: I hereby acknowledip that I have read this application and state that the above information is correct and agree to comply with all requirements co qted herein qnd city ordinances ands ate laws regulating building construction. R Q I Signature a I Print Name r! N Distribution: Original - L 8y Yellow - Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE