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HomeMy WebLinkAbout421 STOVER ST - APPLICATIONS - 7/23/2003BUILDING PERmrrs & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION Last First Lie A v) n -r,- 3 Street Address Please Specify: LN. DR. CR. WY. PL. ST CT RD AVE. 0 lz ya(e- Awttop, Company Name License Number L I Lie 1.-S 1�v u CAI0 Y \� R Mailing Address City \jQ 1A St>r' °IUD- Y?4-(oo City State Zip Code Taff CDlllns Lo gb50 Supervisor & Cert. # State Zip Code Lo Ross D O Phone -9�13 Please Specify.' LN. DR. CR. WY. PL ST T RD. AVE. Zip Code JOB SITE ADDRESS Subdivision/PUD Ca CM Filing Number Building Square Footage Number of Bedrooms/& 0 Le�� I Lot �� � ��� G,'�err Fat�l.m(t�v►s�C.oUn�q,, me r , S+t&e, cf- Cz to r-4" ct Block Lot Area 6 Number of Stories 540r, Finished Basemen' quare Footage 5-10 Value of Construction (including labor, material, profit) $ L. SV - ` a *fly Description of Work: c' r-O w� &, b Subcontractors: Electrical Roofing Mechanical Concrete Plumbing Framer Building Height 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. 'a Signature 2'a." lt. J a a Print Name &nthn A. rDreth —Phone '110 �N-1007 Distribution: Original — L & P Yellow — Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Z