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HomeMy WebLinkAbout605 W LAKE ST - APPLICATIONS - 6/27/2003BUILDING PERMITS & INSPECTIONS Dmsm P.O. Box 580 • Fort Collins, CO 8052240580 • Phone: 221-6760 BUILDING PERMIT APPLICATION Last First c S\AsTOO r. AYnr c Street Address Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. CDccm u vcT F3!? Company Name License Number Malting Address City L Phone C?'70 -- L-1 16--72-70 Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. JOB SITE ADDRESS, Q S. Xk r Subdivision/PUD o, a' I Filing Number Lot Block City State -% o (o $ 1' Lot Area Building Square Footage Number of Stories a i Number of Bedrooms/Bathrooms Finished Basement Square Footage 0 V .� O ... Value of Construction (including labor, material, profit) $ Description of Work: 6TQ r7L W4 O �ASc1>"r,.t4,T L,,T�L TZ-tTFino-^ AcLe-55 'STAIr'S. Phone q70 -- * 14 -727 0 State Zip Code Ca 60 sa 5` Supervisor & Cert. # Zip Code Zip Code j O Building Height c'�C i -7 >_ / / �l -76 o.i �_/ 1 k CM k S /111A V M�1hl1S � CA T Subcontractors: Electrical Mechanical Plumbing _NCNF- Roofing ZEL� �; Concrete e Jr L-� FramPr I hereby a no le a th have read this application and state that the above information is correct and agree to comply with all requirem nts c Ined h in and city ordinances and state laws regulating building construction. R C1 a Signatu Q. a ^� Print Na �'P►+� F� 5 K. A ac S-TT0 Phone ct7o - Distribution: Original — L & P Yellow — Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE