HomeMy WebLinkAbout2519 Shavano Ct - Applications - 03/30/2004BUILDING PERMITS & INSPECPIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First Middle
Phone
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Street Address Please Specify: LN. DR. CR. WY. PL. ST . 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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Please Specify: LN. DR. CR. WY PL. ST D. AVE.
Zip Code
JOB SITE ADDRESS �$--rg 5� w vralYo
Subdivision/PUD
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Filing Number Lot ,1 Block Lot Area
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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) $��
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Description of Work:
RL'.iMOVE VS/jE.S O/V AKA 16 77/,Al 6- R/QR40-
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Subcontractors:
Electrical G,vAr0u.,, f A"
Mechanical 4(19,
Plumbing Khfj� }A,
Roofing lAt�fy&-e
j 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 contained herein and city ordinances and state laws regulating building construction.
Signature
Print Name L} LOT— ` rn F IE617115* Phone Zp S — /7 ?A
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE