HomeMy WebLinkAbout4132 CEDARGATE DR - APPLICATIONS - 11/11/2002n
r��as
City of Fort Collins
Last _
O"—a'-0
c Street Address Please Specify. LN.
4i32-
Company Name
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
First Middle
CR. WY. PL. ST CT RD. AVE. City State
License Number Supervisor & Cert. #
Phone
-gO44 -0(o3a
Zip Code
)052Co.
o • r w i wr --Y� r �Y
R Mailing Address City State Zip Code
0 3q 6 24�eZP? '4(l /-0Ve A-1
Phone
Please Specify: LN. DR. CR. WY PL. ST CT. RD. AVE. Zip Code
JOB SITE ADDRESS q
13� '.e a yt -41 -i�A,A V1r,'<-21
Subdivision/PUD
CM
Filing Number Lot
Block Lot Area
e
Building Square Footage
Number of Stories
Building Height
Number of Bedrooms/Bathrooms
Finished Basement Square Footage
e4S
j
Value of Construction (including labor, material, profit) $ 42 C? ,250
Description of Work:
_ SCs�G?r c�.tr'c��st2k, �Lc�c_k.�..14 �e-2�rc.�..t � ► t�.c��.c_.T2sc�.L. �1�.�,c�,s�1.C.�.
Subcontractors:
Electrical Q-N ELs—,xeTcMechanical Plumbing-Tbw.t..Ao
Roofing Concrete Framer —2Q;F9A9—T-T�Lt—
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements c tained herein and c rdinances and state laws reg ting building construction.
a. Signature
n
2 a i �a (� 3 a
Print Name e�j-(,r1 Phone cz
Distribution: Original - L & P Yellow - Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE