HomeMy WebLinkAbout6001 AUBURN DR - APPLICATIONS - 6/3/2003i&�11TI�
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-OSM • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Phone
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Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE.
City
State Zip Code/
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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
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Subdivision/PUD
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Filing NumbeK Lot
Block
Lot Area
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Building Square Footage
Number of Stories
Building Height
0
Number of Bedrooms/Bathrooms
Finished Basement Square Footage
0
3
0
Value of Construction (including labor, material, profit) $
Description of Work:
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
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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 herein an city ordinan s and laws regulating building construction.
Signature ,rc,(_
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Print Name /(��� F�y Phone Ql0 -.zj/- O�'-J-6
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE