HomeMy WebLinkAbout1408 W Oak St - Applications/Patio Cover or Sunshade - 03/31/2005BUILDING PERMITS & INSPECTIONS DIVISION
PO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com
City of Fort Collins BUILDING PERMIT APPLICATION
Application Number IJ� 1 V' q I � Application Date - 1 619 �\
Last First Middle Phone
D(LLS1 LAILA J . 72-$823
3 Street Address Please Specify: LN. DR. CR. WY PL. ST. CT RD. AVE. City State Zip Code
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I b$ UJ - 0A K- ST F-69T GOLL-1 Kis GO 8052 '�11
Company Name License Number Supervisor & Cert. #
Dblkr WOR11- W PSELV ES i
ca 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
Subdivision/PUD
SCoTT- SEF-WbbD
CM
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Filing Number Lot Block Lot Area
2b A
Building Square Footage Number of Stories Building Height
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
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Value of Construction (including labor, material, profit) $ SbO . Dc)
Description of Work:
PEP�6raLA WEE- bV-iV EWAI
Subcontractors:
Electrical
Roofing
I hereby ackr
requirements
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Q Signat re
a
Print Name I -' l
that I have re
I herein aad i
_ Mechanical Plumbing
_ Concrete Framer _
ad is application and state that the above information is co
dinaRces and state laws r ula I uil ' ructic
and agree to comply with all
btLLS1-612w5 Phone 4i2-8823
Distribution: Original - L & P Yellow - Office I—
THIS APPLICATION EXPIRES W DAYS FROM APPLICATION DATE