HomeMy WebLinkAbout919 BITTERBRUSH LN - APPLICATIONS - 7/18/2002w_
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
Last
First
Middle
Phone
L-
50orr
#7b) 223
c
Street Address Please Specify:(o DR.
CR. WY. PL. ST CT RD. AVE.
City State
Zip Code
4 n s
L cp
12)(Os2-(o
Company Name
License Number
Supervisor & Cert. #
0
M
Mailing Address
City
State
Zip Code
L
C
O
Phone
Please Specify:
LN. DR. CR. WY. PL. ST. CT RD.
AVE.
Zip Code
JOB
SITE ADDRESS
919�
T COL �
80_540
Subdivieslio�n/PUD
CMCD
L`
Filing Number Lot
Block
Lot Area
r
3
/0>y8
Building
Square Footage
Number of Stories
Building Height
0
Number of Bedrooms/Bathrooms Finished Basement Square Footage
o
C
pr 0
Value of Construction (including labor, material, profit) $ 3& q (4a-�
Description of Work:
ACblTlyt,) OF59'02Ae,G -4Aa- nn� FK/ST/ti1G G�4lL4(I� "IQ
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
I hereby ackno ledge that I have read this application and state that the above information is correct and agree to comply with all
requirements ntained her 'n and city rdinanc a state laws regulating building construction.
R
.a Signature pw,
a
Print Name RAojp. L 5 _ 1 —Phone—&) 223-4ZO
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE