HomeMy WebLinkAbout622 S COLLEGE AVE - APPLICATIONS - 11/23/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
Appllcaifte Number`
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First Middle Phone
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Street Address Please Specify: LN. D
CR. WY. PL. ST CT. RD. AVE. City tate Zip Code
/10
Company Name
License Number Supervisor & Cert. #
C
Mailing Address
City State Zip C de
O
Phone
J
Please Specify:
LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUD
a+
Q°3
Filing Number Lot
Block Lot Area
Building Square Footage
Number Stories
0
of Building Height
L
Number of Bedrooms/Bathrooms
Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $ 1---
Descripf n of or.:
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Uld�TS
Subcontractors:
Electrical / u&'? 2 -
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 contained herein and city ordinances and state laws regulating building construction.
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Signature
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Print Name
(,5 Phone
Distribution: Original — L & P Yellow
— Office
THIS APPLICATION EXPIRES it DAYS FROM APPLICATION DATE
P t T
c-mr"'-unity Haan ding a.n Enviroy3.1 —^Mull S-er Bees
Commercial Construction Application Information
Revised May 10, 2000
Application Number:B0506981
Job Site Address: 6,JL-tie A e. Unit #
New Building Additio
Remodel/TF
Name of Business: f100e Y.
Proposed Use: (i.e. medical, office, bank, retail, etc)__ Defy e-'--
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant?
❑ If for a new tenant, is this the first tenant to occupy this
space? ilM
❑ If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known)_ Du 0,af,-- 5, -sT �� b1{/�L'! v Se�'✓'.L1s
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Are there any exterior elevation changes associated with the
work? V P
Describe:
ignatur
iL0_1I.
Name (Pleate print)
Date
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134