HomeMy WebLinkAbout2749 Dixon Creek Ln - Applications/Basement Finish - 04/02/2003b- BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins 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
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City
License Number
Middle
City State Zip Code
Supervisor & Cert. #
State
Zip Code
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
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Subdivision/PUD l
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Filing Number
Building Square Footage
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Lot
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Number of edrooms/Bathrooms
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Block
Number of Stories
Value of Construction (including labor, material, profit) $
Description of Work: / c
Lot Area
are Footage
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Subcontractors:
k Electrical Mechanical Plumbing
Roofing Concrete Framer
Building Height
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
R requirements contained herein and city ord�anraes and statg.lairs regulating building construction.
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Signature
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Print Name --/d/12i¢J �..� �GZt ,¢ Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE