HomeMy WebLinkAbout411 E PITKIN ST - APPLICATIONS - 11/29/2004L '
c Street Address Please Specify: LN.
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Company Name
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Mailing Address
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Phone
JOB SITE ADDRESS
Subdivision/PUD
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Filing Number
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760
www.fcgov.com
BUILDING PERMIT APPLICATION
CR. WY. PL. ST. CT. RD. AVE.
License Number
Please Specify: LN. DR. CR. WY. PL.
Litt E. P4kt_-
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City State Zip Code
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Supervisor & Cert. #
T(.ZT. RD. AVE.
54-
Block Lot Area
Zip Code
Building Square Footage ` Number of Stories Building Height
Number of Bedrooms/Bathrooms X Finished Base ent Square Footage
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Value of Construction (including labor, material, profit) $ f In -� n
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Roofing Concrete Framer
i nereoy 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.
CL a Signature
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Print Name r, �, _ b� n Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE