HomeMy WebLinkAbout1221 Kirkwood Dr - Applications/Basement Finish - 07/13/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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First
Middle
Phone
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Street A 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. #
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Mailing Address
City
State
Zip Code
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Phone
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JOB SITE ADDRESS
Please Specify: Lpl. DR. CR. WY. PL. ST. CT RD. AVE.
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Zip Code
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Subdivision/PUD
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Filing Number
Lot Block
Lot Area
Building Square Footage Number of Stories
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
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Building Height
Value of Construction (including labor, material, profit) $ 40kilm1 61-1 in C.",
Electrical ''�p� h 0 e �`? Mechanical Plumbing " 8�
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Roofing eToncrete Framer
I hereby acknowled v ea this applicaf and state that the above information is correct and agree to comply with all
requirements c ained herei nd ty ord c and state laws regulating building construction.
o. Signature
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Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE