HomeMy WebLinkAbout711 W Mountain Ave - Applications - 04/12/2004BUILDING PERT M & bWFEcnoNs DIVISION
P.O. Box 5W • Fort Collins, CO W522 )SW • phone: 2n-6760
BUILDING PERMIT APPLICATION
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C Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. City
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Company Name
LicJenCs NIucmber
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Phone
JOB SITE ADDRESS
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Please Specify: LN. DR. CR. WY PL.
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o Building Square Footage
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ST.' CT R0QVE.\`
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Supervisor & Cert. #
01-17 <'o
cur Block Lot Area
Number of Stories
s Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ O O O ®�
Description of Work:
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Zip Code
Zip Code
Zip Code
Sd- I
Building Height
lb
Subcontractors:
Electrical T�rt s,vs Mechanical Plumbing ONrS IAJS
Roofing Concrete
Framer
I hereby acknowledge_! - at I have read this application and state that the above information is correct and agree to comply with all
requirements contai d erein and city ord AWs and site laws regulating building construction.
a Signature
a
Print Name
Phone
Distribution: Original — L & P yellow — Office f
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE