HomeMy WebLinkAbout1551 Corydalis Ct - Applications - 04/08/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
RO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
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c Street Address Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE.
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Company Name License Number
Mailing Address City
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Phone
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JOB SITE ADDRESS
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Subdivision/PUD
Please Specify:
LN.
DR. CR.
WY. PL. ST.
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RD. AVE.
Phone
City State Zip Code
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Supervisor & Cert. #
State Zip Code
C6 �DS�
Filing Number Lot Block Lot Area
Building Square Footage
Number of Stories
Number of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ D
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Zip Code t
FT C, �c4rs, co $us�l{
Building Height
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Description of Work:
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49AR-1
Subcontractors:
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Electrical / N f Mechanical PIA Plumbing /A j0'S/S
Roofing /V A Concrete N/A Framer j('6AN
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 ordinances and state laws regulating building construction.
R
. a Signature
a � Print Name �d �d /t^ C.6U4^, Phone d ' S8/ — / 7 2
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE