HomeMy WebLinkAbout6915 Sedgwick Dr - Applications/Basement Finish - 06/30/2004BuaDING PERMITS & INSFECITONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-OSM • Phone: 221-6760 J v
City of Fort Collins
BUILDING PERMIT APPLICATION
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Phone
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St r t dress 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. #
Mailing Addres
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LAp Code
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Phone
Please Specify:
LN. DR. CR. WY. PL. ST CT RD. AVE.
Zip Code
JOB SITE ADDRESS'
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Subdivision/PUD
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Filing Ntdber Lot
Block Lot Area
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Building Square Footage
Number of Stories
Building Height
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Number of Bedrooms/Bathrooms
XFinished Basement Square Footage
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31
Value of Construction (including labor, material, profit) $
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Description of Work:
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Subcontractors: I
Electrical 41Mechanical Plumbing
Roofing Concrete e ramer
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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requirem tained herein and city ordinance and state laws regulating building construction.
'a Signature
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Print Name Phone�Q
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE