HomeMy WebLinkAbout3243 Silverthorne Dr - Applications - 05/15/2003BUILDING PERmrrs & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
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_Application Data
Last First Middle
B ENSHOOF 70H/u"
03 Street Address Please Specify: LN. DR.c�WY PL. ST. CT. RD. AVE. City State
3.1+3 54LV6Q -1d/W jjR Wr 6Xai)5 CZ
Company
Name License Number Supervisor & Cert. #
L S{/-
O
R Mailing Address City State
0
Phone
Please Specify- LN. DR. CR. WY. PL. ST CT. RD. AVE.
JOB SITE ADDRESS � 17
Subdivision/PUD
�s r
—
ruing Number Lot
7rr-h l b
Building Square Footage
0
U
Number of Bedrooms/Bathrooms
Block Lot Area
t01>
Number of Stories
4
Finished Basement Square Footage
37 2-
Value of Construction (including labor, material, profit) $ / r7—;e
Description of Work:
SW
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
z
R
o.
a
Phone
-6z9.r
Zip Code
80526
Zip Code
Zip Code
Building Height
I hereby acknowledge t t I ha ead this ap icati n and state that the above information is correct and agree to comply with all
requirement ain erep nd city ord. c and state laws regulating building construction.
Signature
Print Name _ 3�iJV B��✓cS�l(,�?� Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE