HomeMy WebLinkAbout523 W Magnolia St - Applications/Addition or Alteration - 03/02/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
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Phone
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Street Address Please Specify: LN. DR CR. WY PL. ST. CT. RD. AVE.
City
State Zip Code
Company Name
License Number
Supervisor & Cert. #
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Mailing Address
City
State
Zip Code
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Phone
Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUDCn
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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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Value of Construction (including labor, material, profit) $
Description of Work:
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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
requirements contai d in nd city ordinances and state laws regulating building construction.
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a Signature
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Print Name Phone 4;7 z 2 3 - ? 347 y
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE