HomeMy WebLinkAbout4501 VISTA DR - APPLICATIONS - 9/8/20033 Street Address lea
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Company Name
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R Mailing Address
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Phone
BUILDING PERMM & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
First
Specify: LN. DR. CR. WY. PL. ST CT RD. AVE._
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License Number
City
fle Phone
97-0--?9z 93V
State- Zip Code
Supervisor & Cert. #
State Zip Code
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code
- JOB SITE ADDRESS �5a/ � /►�Sy, ��
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Filing Number
00 ✓.
Lot
Block Lot Area
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vyaaic i wiayc ]WITIOer OT woneS 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) $ 2,� 6
Description of Work:
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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 co ained herein and city ordinances and state laws regulating building construction.
Signature
Print Name AJ T, I AAS Phone_ 23Z 93qz—
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ME
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE