HomeMy WebLinkAbout1242 Patterson Ct - Applications - 02/23/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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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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Mailing Address
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Zip Code
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Phone
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
JOB SITE ADDRESS
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Subdivision/PUD
76
CD
°i Filing Number
Building Square Footage
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Block Lot Area
Number of Stories
Zip Code
Building Height
Number of Bedrooms/Bathrooms XFinished Basement Square Footage
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Value of Construction (including labor, material, profit) $ �r3Le 3 oD
Description of Work:
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Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
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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
Print Name —&W-r i--RzzA OEM Phone qy0 5-!9; 1 5'197
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE