HomeMy WebLinkAbout911 AKIN AVE - APPLICATIONS - 4/21/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
P01-1,V1 c
CMStreet Address Please Specify: A DR. CR. WY. Pl
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Company Name r
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CT CT. RD. AVE. City State
License Number Supervisor & Cert. #
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Phone
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Please Specify: LN. DR. CR. WY. PL. 01 RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUD
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Filing Number Lot Block Lot Area
Building Square Footage Number of Stories 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) $
Description of Work:
Subcontractors:
Electrical ,(/1A- Mechanical VL Plumbing
Roofing MVCILAC-As laec;L� Concrete 'k14 Framer /V/4
State
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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 and city ordinances and state laws regulating building construction.
'o. Signature
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Print Name T� %we�^d J-f Phone '17'qec,
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE