HomeMy WebLinkAbout1119 Romero St - Applications - 01/07/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 805=-0580 • Phone: =1-6760
BUILDING PERMIT APPLICATION
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3 Street Address Please Specify: LN. DR. OR. WY. PL. ST CT. RD. AVE.
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Company Name License Number
Middle
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Phone
City State Zip Code
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Supervisor & Cert. #
A Mailing Address City State Zip Code
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Please Specify: LN. DR. OR. WY. PL. ST CT. RD. AVE. Zip Code
JOB SITE ADDRESS // l ,g /&4Me'e', �;V
bdivision/PUD
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Lot Block Lot Area
Building Squa Footage
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Number of Bedrooms/Bathrooms
Number of Stories
XFinished Basement Square Footage
Value of Construction (including labor, material, profit) $ y (--Qo40
Building Height
Description of Work:
Electrical
Roofina
Mechanical
Concrete
Plumbing
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.
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE