HomeMy WebLinkAbout1326 Sunflower Dr - Applications - 04/19/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION /
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
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CD StreetAddress Please Specify: LN. DR. CR. WY L. ST CT RD. AVE.
Company Name License umber
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Mailing Address City
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Phone
Please Specify- LN. DR. CR. WY PL. ST. CT. RD. AVE.
JOB SITE ADDRESS 'w-
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State
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State
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Supervisor & Cert. #
zi I Filing Number Lot Block Lot Area
C� i Bunamg square Footage Number of Stories
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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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Zip Code
Zip Code
Zip Code
Building Height
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
I hereby acknowledge hat I have read this application and state that the above information is correct and agree to comply with all
requirements con i d herein nd city ordinances and state laws regulating building construction.
R
Q Signature
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Print Nam 7-1'i^4h Phone �7,0
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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