HomeMy WebLinkAbout6244 WESTCHASE RD - APPLICATIONS - 4/19/2004BUILDING Pmwrrs tic INSPECTIONS DIVISION
P.O. Box SW • Fort Collins, CO 8MM-OS80 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last Firs Middle Phone
c Street Address lease S,peciy : LN. DR. CR. WY. PL. ST. CT RD.WW City State Zip Code
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mpany Name License Number Supervisor & Cert. #
R Mailing Address Cif
State Zip Code
Phone
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Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. Zip Code
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Filing Number Lot Block Lot Area
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Building Square Footage Number of Stories Building Height
Number of Bedrooms/Bathrooms Finished Basement Square Footage +�
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Value of Construction (including labor, material, profit) $
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Description of Work:
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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 contained herein and city ord' ances and state laws regulating building construction.
a Signature
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Print Name �1�/1 m /�. le-41^QS Phone ,7e
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE