HomeMy WebLinkAbout2050 International Blvd - Applications/Mobile Home - 07/08/2003 (3)BUILDING PERMITS & INSPECPIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
tyof 'Fort Collins BUILDING PERMIT APPLICATION
Application Number Application Date
Last First Middle Phone
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3 Street Address Plea e Specify: LN. DR. CR. WY PL. ST CT. RD. AVE. City State Zip Code
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Company Name License Number Supervisor & Cert. #
L
R Mailing Address City State Zip Code
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%.' Phone
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS O Ak F
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Subdivision/PUD of o 4 � K 1-
Filing Number Lot Block Lot Area
I 1� Z8 76
Building Square Footage Number of Stories Building Height
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t3 I S O
Number of Bedrooms/Bathrooms Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $ (Q 61 000
Description of Work: 1 1 c�
Subcontractors:
Electrical Y,6Ww )0ei> &je.,S 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 conta' d herein and ity7ord'nces and state laws regulating building construction.
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Signature
a Print Name L S Phone 4 5J7 60 94
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE