HomeMy WebLinkAbout309 Strasburg Dr - Applications - 10/22/20036iABUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
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Last First Middle Phone
c Street Address Please Specify: LN. CR. WY PL. ST CT. RD. AVE. City State Zip Code
Company Name License Number Supervisor & Cert. #
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A Mailing Address City State Zip Code
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Phone
Please Specify: LN. . CR. WY. PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUD
cm
Filing Number Lot Block Lot Area
Building Square Footage Number of Stories Building Height
Number of Bedrooms/B�th� oms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $
Description of Work:
Subcontractors:
Electrical Mechanical n�' Plumbing
Roofing i��% Concrete V► a Framer
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 and city ordinances and state laws regulating building construction.
R
a Signature
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Print Na Phone 0� 93o2g
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE