Loading...
HomeMy WebLinkAbout726 Roma Valley Dr - Applications - 04/28/2003€IAs�i� tx a=3_ i City of Fort Collins BUILDING PERMITS & INSPECTIONS DMSION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 BUILDING PERMIT APPLICATION Last First Middle Phone Sc c r� 3 — 33y c Street Address Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. City State Zip Code Company Name License Number Supervisor & Cert. # t�C �-s� cl C D-� 8 o o o Mailing Address City State Zip Code Phone '-/ s 3 -V/ oa s-- a'� 7— 9 7 3'�' Let I` Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. Zip Code _ r JOB SITE ADDRESS '7a V4 4� Subdivision/PUD R CM Filing Number Lot Block Lot Area Building Square Footage Number of Stories Building Height 1 Number of Bedrooms/Bathrooms Finished Basement Square Footage 173 Value of Construction (including labor, material, profit) $ Descripti of Work: yam, f b cCs c� m c n / r e / b r n{' Y�©y sn / h �c 7�LE ✓a/Th Subcontractors: / Electrical Mechanical �i �b �/�� Plumbing ( uSS Roofing AA Concrete /f, Framer ,&/_ z cc .a o. a 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 -!517'e vie. H PV. )ke jam} Phone aP 7 R % 3a Distribution: Original — L & P Yellow — Office THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE