HomeMy WebLinkAbout4248 Table Mountain Pl - Applications - 06/15/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522 OSM • Phone: 221-6760
BUILDING PERMIT APPLICATION
Iasi First Middle
cm Street
)Address -rPleas"e Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. City State
Company Name License Number Supervisor & Cert. #
Mailing Address City State
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Phone
Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE.
JOB SITE ADDRESS
Subdivision/PUD
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Filing Number Lot Block Lot Area
o Building Square Footage tuber of Stories
376
Number of Bed oms/Bathrooms 7Finished Basement Square Footage
CS 341 I3,,
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Phone
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Zip Code
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Zip
Zip Code
Building Height
Value of Construction (including labor, material, profit) $
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Description of Work:
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Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
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I hereby acknowledge that I have read this application and state that the above information is correc# and agree to comply with all
requirements contained I in and city o dinances and state laws regulating building construction.
Signature
Print Name CIL't Phone I76 — 9 ! - 37 ZI
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE