HomeMy WebLinkAbout1200 Alameda St - Applications/Patio Cover or Sunshade - 04/18/2003BUILDING PERMITS & INSPECTIONS I)TVISIUN
P.O. Box 580 • Fort Collins, CO 805=-0580 • Phone: MI-6760
City of Fort Collins BUILDING PERMIT APPLICATION
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Last First Middle Phone
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3 Street Address Please Specify: LN. DR. CR. WY . ST CT. RD. AVE. City State Zip Code
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Company Name License Number Supervisor & Cert. #
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R Mailing Address City State Zip Code
163 2 LLB vt e w ^ems G«,vr CIO, sas'-a `f
Phone
Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS. 62 o ,41-AAI E44 1,4AL& was
Subdivision/PUD
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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Value of Construction (including labor, material, profit)
Description of Work:
Subcontractors:
Electrical Mechanical Plumbing
Roofing 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
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requirements contained herein and city ordinances and state laws regulating building construction.
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a Signature
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Print Nam4e (`js¢/LI�Ps �r l7% Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE