HomeMy WebLinkAbout2219 Stillwater Creek Dr - Applications/Basement Finish - 03/09/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First Middle Phone
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c 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
City State
Zip Code
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Phone
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LN. DR. CR. WY. PL. ST CT RD. AVE.
Zip Code
JOB SITE ADDRESS
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Subdivision/PUD
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Filing Number Lot
Block Lot Area
Building Square Footage.
Number of Stories
Building Height
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Number of Bedrooms/Bathrooms
Finished Basement Square Footage
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1090
Value of Construction (including labor, material, profit) $
Description of Work:
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Subcontractors:
Electrical UPS. Mechanical Plumbing NOPl.VM15lNC'
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 01/1 Al
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Print Name (I
Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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