HomeMy WebLinkAbout4425 HOLLYHOCK ST - APPLICATIONS - 9/12/20036 F'� FIE --L
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City of Fort Collins
BUILDING PERMITS & INSPECTIONS IimsioN
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Last
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First
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Middle
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Phone
0'66 - CQ-s
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Street Address Plea a Specify: LN. DR.
CR. WY PL. ST CT. RD. AVE.
City State
Zip Code
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14
66 f c0
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Company Name
License Number
Supervisor & Cert. #
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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
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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
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'575�-5"
Value of Construction (including labor, material, profit) $ 5000
Description of Work:
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6e.9�oo •,n
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 contained herein and city ordina s regulating building construction.
a Signature
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Print Name �or�.. -f Phone %Q „Z66 0��
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE