HomeMy WebLinkAbout2830 Blackstone Dr - Applications/Basement Finish - 12/06/2002City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052MSBO • Phone: 221-6760
BUILDING PERMIT APPLICATION
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c Street Address Ple se Specify: LN�R. WY. PL. ST CT. RD. AVE. City State Zip Code
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Company Name License Number Supervisor & ert. #
v Mailing Address City State Zip Code
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Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS e3 0
Subdivision/PUD
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Filing Number Lot Block Lot Area
Building Square Footage Number of Stories Building Height
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $
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Description of Work:
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Roofing ,C,L Concrete n IG Framer -Se �T
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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 06rein and city ordiripcep9d state laws regulating building construction.
Signature
Print Name StA &,, L . Oft N, Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE