HomeMy WebLinkAbout632 Agape Way - Applications/Deck - 07/22/2003MP
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_ BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
cityofFort Collins PERMIT APPLICATION
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Application Date
Last
First
Middle
Phone
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Street Addre Please
Specify: LN. DR. CR. 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
JOB SITE ADDRESS � 3 a
Subdivision/PUD
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CM
°i Filing Number
Lot
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Block Lot Area
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7
INumber of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ :?QQQ
Description of Work:
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
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Building Height
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.
Signature O,—
Print Name r Phone�Q�—(� Q5
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE