HomeMy WebLinkAbout922 W OAK ST - APPLICATIONS - 3/31/2003BUILDING PERMITS & INSFEcrioNs DMSION
P.O. Box 5ti0 • Fort Collins, CO 80522-0580 • Phone: 221-6760
Citvof Fort Collins BUILDING PERMIT APPLICATION
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Last
First
Middle
Phone
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Street Address Please Specify: LN. DR.
CR. WY. PL. ST. CT. RD. AVE.
City State
Zip Code
Company Name
License Number
Supervisor & Cert. #
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Mailing Address
City
State
Zip Code
Phone
Please Specify:
LN. DR. CR. WY. PL. ST CT RD. AVE.
Zip Code
JOB SITE ADDRESS
2Z
Subdivision/PUD
Of
Filing Number Lot
Block
Lot Area
117
Building Square Footage
Number of Stories
Building Height
0
4095-15 1 8cc>
Number of Bedrooms/Bathrooms
Finished Basement Square Footage
0
Value of Construction (including labor, material,
profit) $ Z4:�&
Subcontractors:
Electrical _�srh.�,,g Mechanical �G. ��. �,,��y,,—� Plumbing aZtj r
Roofing r` 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.
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a Signature
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Print Name
Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE