HomeMy WebLinkAbout613 FLAGLER RD - APPLICATIONS - 6/24/200311
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BUILDING PERMITS & INSFECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 r Phone: 221-6760
BUILDING PERMIT APPLICATION
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First Middle
Specify: DR. CR. WY PL. S1 CT. RD. AVE. City State
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License Number Supervisor & Cert. #
City
State
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Phone
Zip Code
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Zip Code
Please Specify: LN. DR. CR. WY PL. ST C RD. VE. Zip Code
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Subdivision/PUD
Filing Number Lot
Building Square Footage
Number of Bedrooms/Bathrooms
Block
Number of Stories
Lot Area
Finished Basement Square Footage
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Value of Construction (including labor, material, profit) $
Description of Work:
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Electrical C,���j Mechanical
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Concrete
Plumbing F ��
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 c tained herein and city ordinances and s laws regulating building construction.
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a Signature
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a Print Name �I t> 1 W 1 V 1 A C kALA
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE