HomeMy WebLinkAbout4627 S Timberline Rd - Applications - 11/21/2002002—WED 04:43 PM
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PA Sin M 0 Fowt Collins, Co tiW22-MOO • Phone: =-060
ct Of Fort BUILDING PERMIT APPLICATION
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please Speclfr, LN, DR. OR. WY. PL. ST CT. RD. AVE. City State Zip Code
Street
P. 004/004
Company Name
Lic se Number Supervisor & Cert #
Melling Address City State Zip Code
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Phone
please Spec* LN. DR, OR. WY. PL ST. CT. RD. AVE. Zip Code
JOB SITE ADDRESS
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Li b 2� S_ 1 1 M Q Cam. Ni RD
Subdivision/PUD
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Fling Number
J Lot Block Lot Ga
Relpl-As
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Building Square Footage
Number of Stories Building Height
in
Number of BedroomsMa
rooms Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $ Pfl-0
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Description of Work:
Doe. duni
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Subcontractors: uevormlhe6
Electrical Mechanical Plumbing
Roofina 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 contained herein and city ordinances and state laws regulating building construction.
Signatu
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Print ame Phone�ILLJ
Vffisbibubon: Original — L & P 'Yellow — office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE