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HomeMy WebLinkAbout4625 S MASON ST - APPLICATIONS - 12/23/2002BUMI)ING, PERMITS & INSPECTIONS DIvrsioN lmfwn� P.O. Box S80 - sort Collins, CO SOS22.0580 • Phone: 721.6760 CitvofFort Collins BUILDING PERM15 &15—P161%PJ4I Mflrl kpplIcation Number Appiicatfon Date 1 ace Fires WHAlo own a I SEreet Address prase Sperry: LM OR CR. wx Pjr SI Cr. RD. AVE City Company Name 0 15 1.faN,ng Address 0 " I Phone License Humber C rl. Pease SOeoJy, LN OR, Cis_ IW K. ST CT RD. AVE. ,JOB SITE ADDRESS $u bdiv�si0n1PU© A FAing Number Lot G BoMing Square Footage 2 Numoer of 6edroomsrBathrooms a ca -3--r - State State / Zip Code n vt ' l Y'GO Superoisor b CerC # RIocR Lot Area Number of Stories Fmishe-d Bas �em ent Sguare Footage / -1 1,4 Value of Construction (including labor, material, protil) $ / ,5,ro f aO Cj =U BescAption at Work: _ r\ , „ A Zip Code Building Heighl no\ Vet �n lTL��� ► - -T' st �ts+2 �- �3 �.� �-�-�t Gw�esc�.e/1 �-rilee�oL LV, Subcontractors: Electrical Mecbanical Roofmg Concrete Plumbing Other I hereby acknowledge that I have read this app5cation and stale that the above information is correct and agree to comply with all requirements contained hefei an city "nances and state laws regulating building construction, QSignature ` Print Natne C OL VArm Phone O �� b �� ` 3 •� oisvabutrow OviOat— L 4 P Mow — office � q 9 'J 'J♦� J'J .l Community Planning and Environmental Services Building and Zoning Departtnent City of Fort Collins Commercial Construction Application Information Revised May 10, 2000 Application Number: Job Site Address: y6a!5� Sdu7Y N#sd-Al Saep Unit # New Building Addition Remode F X Name of Business: WAL- it I A4Z r a2 �QO Proposed Use: (i.e. medical, office, bank, retail, etc)___g r.c.._ Project square footage: 8 119 DZ For commercial remodels and tenant finishes, please answer the following: o Is the remodel/tenant finish for an existing tenant or new tenant? Exz S-r?WG ❑ If for a new tenant, is this the first tenant to occupy this space? o If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) o Are there any exterior elevation changes associated with the work? N O Describe: _ Signature Date �a-vt� aw 011f Wf NTdF<T$ Cg��) ta7 —�V� Name (Please print) Local daytime phone # 281 North College Avenue • P.O. Box 58o • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 22.4-6134