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HomeMy WebLinkAbout630 S Meldrum St - Applications/Temporary Structure - 01/09/2004ism City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION vral7vn a-F polej, 3 Street Address Please Specify LN. DR 0 :3a.G 3 ,�ras�erz Malting Address 7 ,-/ Phone �4 e JOB SITE ADDRESS First lre e twe--L * L-1 g,-sh o v 1-4er- ol CR. WY.PL. ST. CT RD. AVE. cSk iT 'W j r4L ro ra License Number ,,v rR,4C"e9y, TNc ©/ -/25�5`I1 s Chi � a City State Co 1?1aai� Supervisor & Cert. # JiMZI'l12aI City State o VT St-, ✓e 2 Co Phone 70 - 41V Zip Code 13-33,Y Zip Code 'Fec:12 / / Cox - 3 ()3--q-3s—D3 � 6 Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code 630 Sc . Ae It -Ira m Slf Y-e e f ' %cnT t4o4/ns FeSa / Subdivision/PUD a CI CD Filing Number Lot Block Lot Area Building Square Footage Number of Stories Building Height 0 L Number of Bedrooms/Bathrooms Finished Basement Square Footage 0 C� Value o Construction (including labor, material, profit) $ 3� /'ll a„ / r! ifC4 /d Yc7 � �oaki� t/et-f �iG .. Cjel Ve e ad `e ✓e/ j%,t,�es ription of Work: C'n Grid s'-e-f lti /2C60 4. filO6,'IP- S'si-aar74e- Sfuole't in o,r Pro-qram whiC-A W01' ld b-e v.s-ed fax —( Weeks unfi/ /�en�oa�e/%tc�o%`f%nti is /4ax,(mum !f 30 ffkkdewtr er Cuss x4l Occapy cicrssrao 1►. Haptd�Cy e rkC'" �; I be �LrJacevtfi�o � sSro�wt, Pjhee(C6-jC Ra►M w►{t Ye access C'l�tssroam a (� b►`I Su6eontrattee e . '6ec rr- 00 k,,.p ; r eSc- -tha 1" �2 0 A'K P . .51?e- S, e �1 , a `eUfa Electrical IAII e- Mechanical Plumbing - C, Roofing CL a a I hereby ackr requirements Signature Concrete Framer that I have read this application and state that the above information is correct and agree to comply with all d�heerreiin' and city ordinances d state laws regulating building construction. �� = _ D. r2 G b —, T%1 Sr�� �tt t� a-,F Rx icy Print Name rl SS e l L . �C `Gt �� Phone Distribution: Original - L & P Yellow - Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE