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Home My WebLink About2642 Red Mountain Ct - Applications - 06/09/2004BUILDING PERMITS & INSPECITONS DMSION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION Anillilication Date Last First i L CLn C-I © fz- 3 Street Address Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE. Company Name License Number L � � r-�Itie,r v� C,a�c ra�� ta��a✓� 0 City State PT C-0 ins , LC Supervisor & Cert. # t5 Mailing Address City State ��-S J�11n�s�a�.ar Lc� Phone Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE. JOB SITE ADDRESS Phone Zip Code ti Zip Code 3 �1.J Zip Code Subdivision/PUD C uo 4z-Cn CD Filing Number Lot Block Lot Area L C� Fo''Z;5- Building Square Footage Number of Stories Building Height 0 Z L Number of Bedrooms/Bathrooms Finished Basement Square Footage 0 c.2 Value of Construction (including labor, material, profit) $ Z 50 Description of Work: 3�-� e �Q.CA 1rC two. S. pj:'S r Subcontractors: Electrical �rS Mechanical Plumbing Roofing Concrete Framer R v .Q o. a 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 Print Nameaa1j.__ S" f -CQ Phone {� - qO S . C Distribution: Original — L & P Yellow — Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE