HomeMy WebLinkAbout1539 Coral Sea Ct - Applications - 12/22/2004City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com
BUILDING PERMIT APPLICATION
Application Number 78 0 40 % (�? � � Application Date /.-- "1=')- -D —0 t-f
Last
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03 Street Address Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
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Company Name License Number
Mailing Address
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City
Middle Phone
A -taus -;-,04-4wf7
City State Zip Code
Supervisor & Cert. #
State
Zip Code
Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
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JOB SITE ADDRESS
Subdivision/PUD
Filing Number
Building Square Footage
0
3
c4 ( ivumoer oT bearooms/batnrooms
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Block Lot Area
Number of Stories
nished Basement Square Footage
[% 6) 2-5Fr
Value of Construction (including labor, material, profit) $ o
3 a, q- � —
Building Height
Description of Work: /
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Subcontractors:
Electrical Mechanical jI Plumbing
Roofing Concrete Framer
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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 Name
Phone 7 7 — Z-AO-q- --- Ve IV
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Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE