HomeMy WebLinkAbout633 Remington St - Applications - 02/12/2003BuiLDING PERmns & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-676o
BUILDING PERMIT APPLICATION
Last First Middle
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CDStreet Address Pease Specify: LN. DR. CR. WY. PL. ST T. RD. AVE. ity
Company Name _ License Number _
0
Malin Ad ress Cit State
L (A L-. Ace
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Phone
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
JOB SITE ADDRESS
Subdivision/PUD (�
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Supervisor & Cert. #
Filing Number Lot Block Lot Area
0
Z
0
L
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
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Value of Construction (including labor, material, profit) $
2
Description of Work: �
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
Zip Code
Zip Code
Zip Code
Building Height
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirem contained herein and ordinances and state laws regulating building construction.
R
o. Signature
c.
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Print Name v Phone Ij 3—
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE