HomeMy WebLinkAbout1281 E Magnolia St - Applications - 01/17/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Phone
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Street Address Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. City
State Zip Code
CV-35 C. 1�P%9UM0uy 7T ���tic�s
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Company Name _ __ License Number Supervisor & Cert. #
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Mailing Address City State
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Zip Code
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Phone
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Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
Zip Code
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SITE ADDRESS ag ` Su ATE �—'
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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) $ �Q DQQ
Description of Work:
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Subcontractors: j /� `
Electrical H �LEc'r eaC _ Mechanical A \Z. L�.kFoeT Plumbing LaN� s�Lv �ng�►�ee�
Roofing Concrete V Framer
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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 and city ordinances and state laws regulating building construction.
Signature
Print Name $; �/T �/,�p�i�-� Phone — /a -f G�
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE