HomeMy WebLinkAbout3148 S Lemay Ave - Applications/Addition or Alteration - 04/28/2003BUILDING PERmus & INsrEcnoNs DIVISION
P.O. Box 580 • Fort Collins, CO 80522,0580 • Phone: 221-6760
City of FortCollins BUILDING PERMIT APPLICATION
Last First Middle Phone
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3 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.
JOB SITE ADDRESS
CR. WY. PL. ST. CT RD. AVE.
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Zip Code
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Subdivision/PUD
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Filing Number Lot �
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Block Lot Area
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Building Square Footage
Number of Stories
BuildingHeight
_SF
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Number of Bedroom /Bathrooms
Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $
Description of Work: 15APRV—
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Subcontractors:
Electrical
Roofing
I hereby acknowledge that I have
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requirements con ed h rein ar
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a Signature
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Print NameIvl'fY1011�I
Mechanical
Plumbing
Concrete Framer
Phis application and state that the above information is correct and agree to comply with all
l rdinance)(and state laws regulating building construction.
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Distribution: Original — L &'P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE