HomeMy WebLinkAbout614 Gilgalad Way - Applications/Basement Finish - 06/15/2004BUILDING PERNIITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
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First Middle
Phone
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Street Address Please Specify: LN.
DR. CR. WY PL. ST. CT RD. AVE. City
State Zip Code
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Company Name
License Number Supervisor & Cert. #
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Mailing Address
City State
Zip Code
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Phone
Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE.
Zip Code
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SITE ADDRESS
Subdivision/PUD
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Filing Number Lot
Block Lot Area
Building Square Footage
Number of Stories
Building Height.
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $� 000
Description of Work:
Subcontractors: r
Electrical —rA/'T- , C Mechanical /-Sr Plumbing
Roofing r— 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 cont ' ed herein and ci ordinances and state laws regulating building construction.
o. Signature
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Print Name /`t(k—.`s pS Phone q ?C) — (70 —
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE