HomeMy WebLinkAbout3131 San Luis St - Applications/Basement Finish - 01/24/2003BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
O
� Appfiiatioln Date
Last
First Middle
Phone
c
Street Address Please Specify: LN. DR.
CR. WY PL. T CT. RD. AVE. City
State Zip Code
61952-!5-
Company Name
License Number Supervisor & Cert. #
L
Mailing Address
City State
Zip Code
/ o
Cj
Phone
Please Specify:
LN. DR. CR. WY. PL. ST CT. RD. AVE.
Zip Code
JOB SITE ADDRESS � � .� t
SQL L,u t ��
Subdivision/PUD
+-a Q d
�,
Dq k o
5
Filing Number Lot
Block Lot Area
Building Square Footage
Number of Stories
Building Height
. isIyo0
Number of Bedrooms/Bathrooms
Finished Basement Square Footage
P
-Valueof Construction (including labor, material, profit) $
Description of Work:
Rudd o u f b o s-e-. e4v4 tu t vi c I ,4, .e aroom., at'— I c-e
CA vn S rz&-Rn CCS e�i✓f r��S�e�(
Subcontractors:
Electrical
Roofing
z
A
.a
a
a
Mechanical
Concrete
Plumbing
Framer
I hereby 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.
Signature
Print Name e Gi r►
a'tri Ni e d
Phone 2D4 — 9 E 33
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE