HomeMy WebLinkAbout200 S Grant Ave - Applications/Garage - 04/02/2004BUILDING PE MTrS & INSPECTIONS DIVISION
P.O. Box SW • Fort ColUm, CO ON22.05W • Phone. 221-6760
c t -0f % t Collins BUILDING PERMIT APPLICATION
t SSA o
JOB SITE ADDRESS
u i. nu. rivt.
vuNci Vim at Uerl. V
Zip Code
Id s. 6-9A0,,.T- At
Subdivision/PUD
0, N
i Filing Number Lot Block
Lot Area
oFNumber
re Footage Number of Stories
Building Height
drooms/Bathrooms Finished Basement Square Footage
0
w
Value of Construction (including labor, material, profit) $
Description of Work:
Subcontractors:
Electrical Mechanical
Plumbing
Roofing ooF,p� 'iR-'rfkConcrete BBC je,t 6yvr)94c:
Framer (�c.�o
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 c' ordinances and state laws regulating building construction.
CL
42
'a Signature („)
.0
Print Name —K P (I j , �� J
Phone_ ;L2q-5-5-4 p
Distribution:
Original — L & P -yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE