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HomeMy WebLinkAbout2554 Midpoint Dr - Applications - 02/23/2004Last First Middle Phone CD Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City State Zip Code r 0 (2:r CO L Q "-s Company Name License Number Supervisor & Cert. # SJl ��� /�5 f f WJ f� C > �- £-3 0 Mailing Address City State Zip Code Phone r� Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. Zip Code JOB SITE ADDRESS (., l p l WonA�) 7— �� V Subdivision/PUD tMCD Filing Number Lot Block Lot Area 2© Building Square Footage �. Number of Stories Building Height i rc Number of Bedro ms/Bathrooms Finished Basement Square Footage ,9� Value of Construction (including labor, material, profit) $��,, Description of Work: /.1f -s-r,4 LL -5L1 Pe)f2,'r -5c--)vT)4 S% /�, CIF SL�CU/'�> T e 6I u&)I 7��C� � �t=Tl2.l� /✓�-C. �y •T7��I �T:r�'Lc�9t��ti.� �L� c�"lL�c-��, Subcontractors: Electrical Ar:�I)C1zioso A) Mechanical Plumbing Roofing Concrete Framer I hereby acknowledge that I have rea his application and state that the above information is correct and agree to comply with all requirements contained herei d ordinances and st e I s regulating building construction. R a Signature CL a Print Name '�Tv'lt� .� LC'�,1 / % Phoneme/''li % Distribution: Original — L & P Yellow — Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE