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HomeMy WebLinkAbout618 HOLYOKE CT - APPLICATIONS - 3/26/2003BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION Last // G-ggz- First 1-9Hr7rn y Middl Phone `, D- If) 0-9$ -lo oq CDStreet Address Please Specify: LN. DR. CR. WY PL. ST. CT RD. AVE. City State Zip Code Cpl- Company Name License Number Supervisor & Cert. # o D• nAr.;Ms&-y, e4, dlC S tS R Mailing Address City Zip ode - /VA� `b Phone Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code JOB SITE ADDRESS / . �,,/ v i i Subdivision/PUDCD I)DW Filing Number Lot Block Lot Area / 5T q(P Building Square Footage Number of Stories Building Height Number of Bedrooms/Bathrooms Finished Basement Square Footage �� 'J Value of Construction (including labor, material, profit) Description of Work: Subcontractors: Dee, Nu4 `COO)-c Electrical Cb//%NS L-02-7zrLy . Mechanical 94 lumbing 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 contained herein and city ordinances and state laws regulating building construction. .a SignatureCL a Print Name / oyy A!��2— Phone 17P �- 1 A /" I Distribution: Original — L & P Yellow — Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE