HomeMy WebLinkAbout6126 TILDEN ST - APPLICATIONS - 9/24/2003BUILDING PERmiTS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Mallcatian
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c Street Address Please Specify: LN. DR. CR. WY. PL T T RD. AVE.
Company Name License Number
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City State Zip Code
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Supervisor & Cert. #
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Phone
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Please Specify: LN. DR. CR. WY PL. ST. CT. RD. AVE.
JOB SITE ADDRESS
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Zip Code
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Zip Code
Subdivision/PUD
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i 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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Value of Construction (including labor, material, profit) $
Description of Work: c
Subcontractors:
Electrical Mechanical Plumbing
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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 he in and city ordinances and state laws regulating building construction.
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Q. Signature
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE