HomeMy WebLinkAbout813 Rumford Ct - Applications - 11/06/2003I Last
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Street Address Please
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Company Name
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BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 8052-0580 • Phone: nl-6760
BUILDING PERMIT APPLICATION
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First Middle Phone
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�ify: LN. DR. CR. WY. PL. ST. T. RD. AVE. City State Zip Code
Oid gr-� eolLas CC) 17660,
License Number Supervisor & Cert. #
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City State Zip Code
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Please Specify: LN. DR. CR. WY PL. ST T. RD. AVE. Zip Code I
JOB SITE ADDRESS
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Filing Number Lot Block Lo4AAr a 3
= Building Square Footage Number of Stories Building Height
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Number of Bedrooms/Bathrooms Finished Basement Square FootageCD
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Value of Construction (including labor, material, profit) $ ` , BOO
Description of Work:
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Subcontractors:
Electrical _0-14jo� Mechanical �. 11L. Plumbing
Roofing AL-4 Concrete Framer A 6Z
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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 herein and city ordinances and state laws regulating building construction.
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Signature
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Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Print Name 11.