HomeMy WebLinkAbout818 WHALERS WAY - APPLICATIONS - 5/19/2004BUILDING PERMM & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
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c Street Address Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
Company Name License Number
15 o � �C+�o• �-�49
Mailing Address City
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0 O • 6 L P&QI
Phone
970 - 44 !- 97417 4
JOB SITE ADDRESS
Subdivision/PUD
C
°i Filing Number
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE
Lot
Number of Bedrooms/Bathrooms
0
Block
Number of Stories
Middle
Pfione
4. 3.3 4- S
City
State Zip Code
WAJ.S
Co . 'P'0.-z
Supervisor & Cert. #
2.2 G Z
State
Zip Code
•
i?OS38
U er
Lot Area
Finished Basement Square Footage
0
Value of Construction (including labor, material, profit) $ Sa
Description of Work: �
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b n/ C-A&Aj L--
Zip Code
Building Height
/3 41
Subcontractors:
Electrical ro SS=• Mechanical ' Od rdS Plumbing,60WAV/'V&.
Roofing c dlrsc! Concrete iD Framer ,
I hereby acknowledge that I have read this application an state that the above information is correct and agree to comply with all
requirements contained herein and city ordinances an sta laws regulating building construction.
R
-a Signature
o.
a A
Print Name / i (' Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE