HomeMy WebLinkAbout3500 Rolling Green Dr - Applications/Basement Finish - 03/29/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS Divas N
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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o Street Ad ess Please Specify: LN.In CR. WY PL. ST. CT. RD. AVE. City State Zip Code
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Company Name orLicense Number Supervisor & Cert. #
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A Mailing Address City State Zip Code
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Please Specify: LN.LDR)CR. WY PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS
CC.-.11
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 1 .D
Value of Construction (including labor, material, profit) $
Description of Work: GL
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Subcontractors:
Electrical �j�'^-,� St", i14-6A4 r
(.Mechanical Wl � +' y f Plumbing ���G✓��
Roofing Concrete Kr�,i1-y Framer . 1'®hH✓4 CL
I hereby ackr
requirements
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-a Signature
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Print Name
ttha hayb)read this application and state that the above information is correct and agree to comply with all
eln d city ordinances and state laws regulating building construction.
Phone 5&6 - 1317 b
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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