HomeMy WebLinkAbout1520 Bon Homme Richard Dr - Applications/Deck - 05/13/2004BUILDING PEtum & INSPECTIONS DMSION
P.O. Bwc SW • Fort Collins, CO 80522-OW • Phone: 2n-6760
BUILDING PERMIT APPLICATION
Last First Middle
Phone
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Street Address Please Speci
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: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City
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State Zip Code
Ca 905ZS'
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015
Company Name License Number
Supervisor & Cert. #
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Mailing Address CityState
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Zip Code
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Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE.
Zip Code
JOB SITE ADDRESS 1520 &.n3 4q6MME 01c+of-0
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Subdivision/PUD
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Filing NumbMe�r � Lot � � r Block Lot Area �� �g
1
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Building Square Footage Number of Stories
Building Height
2
Number of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ L q00 --_.
Description of Work:
fILL 01 0� � A-t till s-�
Subcontractors:
Electrical Mechanical Plumbing
Roofing 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 rein an rdinances and state laws regulating building construction.
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a Signature
CL Print Name % Sin 6 Phone 000,611 1� SSy
Distribution: Original — L & P "Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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