HomeMy WebLinkAbout614 S GRANT AVE - APPLICATIONS - 8/10/2003„* $
City of Fort Collins
BUILDING PERMITS RL lNSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Last First Middle
Phone
6-111L
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Street Address Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE. City
State
Zip Code
60 Lr/KS
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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
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Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE.
Zip Code
JOB
SITE ADDRESS
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Subdivision/PUD
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Filing Number Lot Block Lot Area
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Number of Bedrooms/Bathrooms
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Number of
Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ / Z, 00 iJ
Description of Work: / 72>&Y G.4A A= - — 04Kcam 01 C 7 �/ X I(y
Subcontractors: �E.,c„L#-3 G i
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Electrical 3ffK X Af AA�z,44n Mechanical Plumbing
Roofing Concrete ,Q /j L Framer
I hereby ackr
requirements
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Ct
o. Signature
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Print Name
Building Height
iat I have readtfljacation and state that the above information is correct and agree to comply with all
herein and city
d' nces and state laws regulating building construction.
V/W Phone '// 6 - 53 g69 ct
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE