HomeMy WebLinkAbout4918 DAKOTA DR - APPLICATIONS - 3/4/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052M580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
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Last First
30
o Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE
Im I % D '-' t'-o A-,4 be .
Company Name License Number
L
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R Mailing Address
L
" I Phone
JOB SITE ADDRESS
Subdivision/PUD
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CM
City
State
Zip Code
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Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE. Zip Code
`fi18 bpto4,,
Filing Number Lot Block Lot Area
Building Square Footage Number of Stories Building Height
0
-15
0
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
Value of Construction (including labor, material, profit) $ Z1 �74 SD
Description of Work:
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 co ined herein and city ordinances and state laws regulating building construction.
R
o- Signature
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Print Name fe -. � �''I Ste^ Phone 2- G _ 1J311
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE