HomeMy WebLinkAbout2701 Meadowlark Ave - Applications/Addition or Alteration - 12/11/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 805=-0580 • Phone: =1-6760
BUILDING PERMIT APPLICATION
Last First Middle Phone
CD Street Address Please Specify. LN. DR. CR. WY PL. ST CT RD. AVE. City State Zip Code
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Company Name License Number Supervisor & Cert. #
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R 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 e74-L3w �ZK
Subdivision/PUD
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CM
CD
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) $ ?%V*, 306
Description of Work:
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Subcontractors:
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Electrical
Mechanical
,/ Plumbing
Roofing
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I hereby ackno
requirements c
Signature
Concrete
Framer
I have read this application and state that the above information is correct and agree to comply with all
'ein and city ordinances and state laws regulating building construction.
Print Name ��'L �t�1��L-'"t Phone "t-o —ZlS
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE