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HomeMy WebLinkAbout1609 Greengate Dr - Applications/Basement Finish - 03/24/2005BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com City of Fort Collins BUILDING PERMIT APPLICATION Application Number Application Date L7.�flk7 `ZJJ Last First Middle Phone 0 A Ui� Aoory` 4.0 A8d o0q-f 0 3 Street Address Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE. City State Zip Code (0 e r� F, c a k C U5z C any Name , License Numb Supervisor & Cert. # (A���5 w L o Mai ing Address City State � Y' -0 ��1 'S S'C Zip Code Phone Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code JOB SITE ADDRESS / /�' M C� (�(� Subdivision/PUD A J= 1,t o-r 1 00 cmQ4 Filing Number Lot Block Lot Area © (7 \ Building Square Footage Number of Stories Building Height V 0 Number of Bedrooms/Bathrooms Finished Basement Square Footage .3 C3 Value of Construction (including labor, material, profit) $ S �/ Descri tion of Work: ae •Yr, 1 „ 1JG�SQ�rn-�7�� O�' '�',�C\�-4-�Y-�� �O�,S Q. , Subcontractors: Electrical Mechanical Plumbing Roofing Concrete Framer I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements c herein and city ordinances and state laws regulating building construction. C A C3 a ' Signature Print Name Phone ct -7 U 44L/ Distribution: Original - L & P Yellow - Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE