HomeMy WebLinkAbout214 Triangle Dr - Applications - 06/09/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First Middle Phone
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c Street Address Please Specify.• LN. DR. CR. WY PL. ST CT RD. AVE. City State Zip Code
21y T'12(AA)&LE- _D,- �9'. C01,Co
Company Name License Number Supervisor & Cert. # lam`
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Phone
Please Specify: LN. DR. Ca. WY. PL. ST. CT. RD. AVE.
JOB SITE ADDRESS c�1 / r T� � „ p� �'�
Subdivision/PUD
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Filing Number
Building Square Footage
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Lot Block
Number of Stories
Lot Area
W I Number of Bedrooms/Bathrooms Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $ e7A
Description of Work: r
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Subcontractors:
Electrical I,"1 NOVATIV E- a;a?.T41e- Mechanical Plumbing
Roofing Concrete Framer
p Code r�
Zip Code
Building Height
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
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requirements contained herein and city ordinances and state laws regulating building construction.
'n Signature
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Print Name H a C
Phone 270 - 2l 3 -- S C-42
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE