HomeMy WebLinkAbout2003 Mesaview Ln - Applications - 07/07/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax 224-6134
BUILDING PERMIT APPLICATION
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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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Zip Code
Mailing Address City
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Phone
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Please Specify.,
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LN. DR. CR.
WY. PL. ST. CT. RD. AVE. Zip Code
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Subdivision/PUD
CM
Filing Number Lot
Block
Lot Area
Building Square Footage
Number of Stories
Building Height
Number of Dwelling Units
Number of edrooms/Bathrooms
Unfinished/Finished Basement Sq. R.
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Plan Number
Options
6, 1Stock
Water Tan Size
Sewer Tap Size
Metered
Electric Main Breaker Size (Residential Only) I Temporary Electric
❑ Electric 1 ❑ 150 amp or less ❑ 200 amp ❑ other 1 ❑ Yes ❑ No
1 (including labor, material, profit) $ Alq( �, Z�—
Description of Work:
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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 herein and city ordinances and state laws regulating building construction.
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. Signature
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater