HomeMy WebLinkAbout1836 Terrace Ct - Applications - 05/12/2004BUILDING PE UdM & INSPECTIONS DMSION
P.O. 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 C RD. AVE.
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Company Name License Number
Middle Phone
'?PO -282 -80`3
City State Zip Cade
W."Wf co
Supervisor & Cert. #
0
R Mailing Address City State Zip Code
0
" I Phone
Please Specify:
LN. DR. CR. WY. PL.
ST 2 RD. AVE.
Zip Code
JOB SITE ADDRESS 36
l40,0.0 GC
$aSZ Sr
Subdivision/PUD
ea
12,
Filing Number Lot
Building Square Footage
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Number of Bedrooms/Bathrooms
0 2/'G�
Block
Number of Stori s
"1.4
Lot Area
Finished Basement Square Footage
Too
Value of Construction (including labor, material, profit) $
Description of Work:
Subcontractors:
Electrical (A
f4 A (a 'CO.-/
Mechanical �` A Plumbing lPi
Building
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Roofing N � Con ete ti/A Framer _ GJ L�^,/�G✓,dryfC 9
I hereby acknowledg read application and state that the above information is correct and agree to comply with all
requirements con d hie/and ordinances and state laws regulating building construction.
'a Signature
CL
a
Print Name c�/' ` < f �EO��E Phone 97`l 'E�S
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE