HomeMy WebLinkAbout6921 Sedgwick Dr - Applications/Basement Finish - 02/12/2003�m
City of Fort Collins
BUILDING PERmns & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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c Street/A r S Please Specify: LN. DR. CR. WY P . ST. CT. RD. AVE. City ` State Zip Code
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Company Name License Number Supervisor & Cert. #
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tS Mailing Address City State Zip Code
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Phone
Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
JOB SITE ADDRESS , /-6C'1v1c4 f'L
Subdivision/PUD
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°j 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
Value of Construction (including labor, material, profit)
Description of Work:
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Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
I hereby acknowledge t at I v rea his applic nand state that the above information is correct and agree to comply with all
requirements contain he d c' ordinance a state laws regulating building construction.
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a Signature
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Print Name �� �d`w"p `� t, ` Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE