HomeMy WebLinkAbout4501 CLIFFSIDE CT - APPLICATIONS - 6/10/2003P, 6. 0�1 16 N NIX
City of Fort Collins
BUILDING PERMITS &s INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
LL / ,t 71)G
3 Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE.
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45a/ C'LiFF5�pE CT
Company Name License Number
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Mailing
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City
Middle Phone
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City State Zip Code
�a�c1�S C-0 gy5,21c,
Supervisor & Cert. #
State Zip Code
Please Specify: LN. DR. CR. WY PL. ST CT RD. A14E. � � Zip Code
JOB SITE ADDRESS 4�5-0
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Subdivisi'on//PUD
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� Filing r
r Lot Block
Lot Area
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Building Square Footage Number of Stories N&uilding Height
U Number of Bedrooms/Bathrooms Finished Basement Square Footage
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�( Value of Construction (including labor, material, profit) $ /U, ao 0
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 ained herein and city ordinances anostate laws regulating building construction.
'a Signature
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Print Name �o,� j K/. i, yr/�M Phone 970 - ZZs -9 i.'Jd
Distribution: Original — L& P Yellow — Office 3 Q 3 -- S 3 2 -- 2 C 3 6
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE