HomeMy WebLinkAbout1861 Indian Hills Cir - Applications/Basement Finish - 02/21/2003a
City of Fort Collins
Last
BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
A rst
Street Address Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE
/86 / -Z .01 Al XIiL1s
Company Name License Number'
Mailing Address
C
O
Phone
City
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
JOB SITE ADDRESS
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Subdivision/PUD
CM Dl
Filing Number Lot
146
C%U V r
Middle Phone
City State Zip Code
Supervisor & Cert. #
State Zip Code
Block Lot Area Q
Building Square Footage Number of Stories
H Number of Bedrooms/Bathrooms Finished Basement Square Footage
3%3 z Z,
Value of Construction (including labor, material, profit) $ :� J
Description of Work:
Zip Code
Building Height
Subcontractors: / /
Electrical f/ Mechanical ✓ Plumbing P,"
Roofing Concrete Framer
I hereby acknow dge that I have read this application and state that the above information is correct and agree to comply with all
requirements c ained herein and city or ' ances and state laws regulating building constructio
-a Signature
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Print Name, W&11q.' A,�t AVA1�i &102 &T—1 A615e Phone 377—�OO9�zZ9—�99�
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE