HomeMy WebLinkAbout600 BREAKWATER DR - APPLICATIONS - 8/20/2004ON
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Mailing Address
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BUILDING Pmnurs & INS Ecnom DIVISION
P.O. Box SW • Fort Collins, CO 80522-M • Phone: 221-6760
BUILDING PERMIT APPLICATION
License Number
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Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE.
JOB SITE ADDRESS r 0 pig
Subdivision/PUDCM
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Filing Number L t Block
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Building Square Footage r Number of Stories
Number of Bedrooms/Ba rooms Finished Basement Square Footage
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Value of Construction (incl ding labor, material, profit) $ J h
Supervisor & Cert``#
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Lot Area
Zip Code
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Building Height
ElectricalMechanical Plumbing
Roofing Qn Concrete iv ttfc
Q�o-��.�/R�iEa�t., Framer
I hereby acknowledge that ave 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 s regulating building construction.
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a Signature
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Print Named t Phone &% c(,t7(zl&-iS
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICAT ON DATE