HomeMy WebLinkAbout626 Linden St - Applications/Shed - 02/21/2003BUILDING PERMITS & INSPECTIONS DivisION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last
First
c
Street Addrets
Please Specify:
LN. DR. CR. WY. PL. ST. CT. RD. AVE.
Company Name
Licensh
Number
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Mailing A ress
City
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Phone
Middle Phone j
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City 1 State Zib Code
\t ", CQ 80 j ZZ
Supervisor & Cert. #
_ O n .rc" V( a`L� Ste.--vcC
State Zip Code
- C1-.31(I f,CU oS Z2
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Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
JOB SITE ADDRESS _ Z�
Subdivision/F uu
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CM
Filing Number
O
3
L
Number of Bedrooms/Bathrooms
0
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Block Lot Area
i
Number off Stories
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Finished Basement Square Footage
Value of Construction (including labor, material, profit) $
1
Zip Code
Description of Work:
�L ,2 T C. `o� i _ t t LA t-> >/ r` 1n11 NA
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Subcontractors: �C- k v cv,� :3 o S l 7 O 00
Electrical LIN Mechanical f Plumbing %
Roofing r/N Concrete Framer %
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements co fined herein and city ordinanc s and state laws regulating building construction.
-a Signature
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Print Name n( la Q- } ` - -E Phone 2 2. (0 8 Q 5—
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Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE