HomeMy WebLinkAbout2914 Brookwood Pl - Applications/Basement Finish - 02/10/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 805224M • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
IPA S"t4
Middle
Phone
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Street Address Please Specify: LN. DR. CR. WY. PL.
ST CT. RD. AVE.
City
State Zip Code
29 ,�200 �oc� PC..
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Company Name License Number
Supervisor & Cert. #
0
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Mailing Address City
State
Zip Code
c190
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447 Z('0
Phone
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Please Specify: LN. DR. CR.
WY. PL. ST. CT. RD. AVE.
Zip Code
JOB SITE ADDRESS
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45Pos-2-s-
Subdivision/PUD
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Filing Number Lot
Block
Lot Area
Building Square Footage Number
of Stories
Building Height
0
Number of Bedrooms/Bathrooms Finished
Basement Square Footage
0
"
040 1
13 Q2
Value of Construction (including labor, material, profit)
$ 11..6
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Description of Work:
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Subcontractors:
Electrical &,/yj"„J AC**.,jj -c.Mechanical AVA Plumbing ,✓L-4
Roofing �./�rQ- Concrete ,J1.4 Framer SL-L,=
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I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contained herein and city ordinances and state laws regulating building construction.
Signature 4A,:
Print Name 57L�rJL G�lLa u�(Phone ZZ] ##9�
Distribution: Original — L & P "Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE