HomeMy WebLinkAbout4226 CENTER GATE CT - APPLICATIONS - 7/31/2002r
City of Fort Collins
BUILDING PERmrrs & INSPECTIONS Divism
P.O. Box 580 • Fort Collins, CO 80522-05M • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First Middle Phone
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c Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City State Zip Code
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Cqmpany Name 4icense Number Supervisor & Cert. #
CS Mai ing Ad s City Ste Zip Code
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Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUDK-
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Filing Number Lot Block Lot Area
= Building Square Footage Number of Stories Building Height
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Number of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) �..
Description of Work: ,
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Subcontractors:
Electrical L(C*'j S—:-QVICI�r /rJG, Mechanical Plumbing
Roofing
Concrete
Framer
I hereby acknowledge that I have re this application and state that the above information is correct and agree to comply with all
requirements Acotained here and tytordinances and state laws regulating building construction.
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a Signature
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Print Name i'aR L° 7 Phone 12 9
Distribution: Original — L & P Yellow — 6ce
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE