HomeMy WebLinkAbout6909 Antigua Pl - Applications/Basement Finish - 02/16/2005BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com
City of Fort Collins BUILDING PERMIT APPLICATION
_..—�
: (
tppNeatlon Number_
Ian
Last
First Middle
Phone
c
Street Address Please Specify: LN. DR.
CR. WY PD ST CT RD. AVE. City
State
Zip Code
1^\IA.C�/i..
�.�-�- C�\�`.rs
Coy
Company Name
License Number
Supervisor & Cert. #
L
O
Mailing Address City State Zip Code
L
c
o _
" I Phone
I (y�
Please Specify: LN. DR. CR. WY. PL. ST. CT RD. AVE. Zip Code '� J
JOB SITE ADDRESS & t?O
04
Subdivision/PUD M
'J
Filing Number Lot Block Lot Area \
'2 2-
Building Square Footage Number of Stories Building Height
0
0
Number of Bedrooms/Bathrooms Finished Basement Square Footage \
Value of Construction (including labor, material, profit)
Descriptioq of Work:
v v U
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
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.
'o. Signature
`-
a
a
Print Name Phone °I" 2.-o 4 r1Sgs
Distribution: Original - L & P Yellow - Office 1l0
THIS APPLICATION EXPIRES dW DAYS FROM APPLICATION DATE