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HomeMy WebLinkAbout323 GARFIELD ST - APPLICATIONS - 11/20/2002BUILDING PERMITS & INSPECTION DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION L First I�lil�dle P C, Street Address Please Specify: DR. CR. WY. PL. ST. CT. RD. AVE. LN. City State Zip Code �a -� ycm-A Company Name License Number Sales Tax Number t q q Mailing Address . City State Zip Code w c � cep 0 � Phone - LAOLk Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code 1: III' rC-' -!3Ar e - IROISQLA Subdivision Planned Unit Development m Filing Number Lot Block Lot Area Parcel Number cltn — �L o B ' di S are Footage Number of Stories Building Height w Number of Dwelling Units Number of BedroomslBathro s N c Y Stock Plan Number Options to e Water Tap Size Sewer Tap Size Metered Type of Heat :� � Electric Mai Breaker Size (Residential Only) [--]Gas D Electric W 50 amp or less ❑ 200 amp ❑ other Descriotion of Work: :- 3� l i�Z I�� s. isT . at► 01116 �u t 7i1 K I -ME N T&_ W W Value of Construction (including labor, material, profit) Llri 00 ,©4 Subcontractors: _ Electrical '0YC)1'\ VkRC t 60-- Mechanical Plumbing 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 cit ordi ces an tate laws regulatin gilding construction.��- _ `—' Signature CL C CJ ^_ Print Name L / �1611-/ Phone 0 0 Distribution: Original - Applicant; Blue - Office; Gold - Stormwater Utility; Pink - L & P; Yellow - Water Utilities