HomeMy WebLinkAbout1207 Leawood St - Applications/Addition or Alteration - 01/14/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box SW • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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c Street Address Please Specify: LN. DR. CR. WY PL. ST. CT RD. AVE.
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Company Name License Number
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R Mailing Address
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Phone
JOB SITE ADDRESS
Subdivisio
Filing Number
ity
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
Block
Middle Phone
City State Zip Code
Supervisor & Cert. #
State
Lot Area
Zip Code
Zip Code
0 Building Square Footage Number of Stories Building Height
0
Number of Bedrooms/Bathrooms Afinished Basement Square Footage
Value of Construction (including labor, material, profit) $��Oc'�,
Description of Work:
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Subcontractors:
Electrical 24 ✓ �T-</C— Mechanical Plumbing
Roofing A /i¢ Concrete FramirsTE�6
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements n a d city ords fate laws regulating building construction.
Signatu
Print Name A1,4.p E Phone 177o
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE