HomeMy WebLinkAbout620 ATWOOD CT - APPLICATIONS - 12/3/2002d
3
0
`o
R
0
c�
BUILDING PERMITS & INSPECITONs DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
Street Address Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE.
Company Name License Number
Q-A - \<-Ls\
Mailing Address
Phone
Qn L�>
JOB SITE ADDRESS
l�kc�>
City State
City State
Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
Subdivision/PUD
R
W
Filing Number Lot
Building Square Footage
0
0
L
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
Value of Construction (including labor, material, profit) $
Description of Work:
Supervisor & Cert. #
Block Lot Area
Number of Stories
Phone
- 01\1!8�
Zip Code
Zip Code
Q-P, 0 --,` <'c'y
Zip Code
Building Height
Subcontractors:
Electrical Mechanical Plumbingy
Roofing- Concrete Framer
R
.n
o.
al
nereuy acKnowieage mat I nave reaa tnis application ana state that the above information is correct and agree to comply with all
requirert is contained herein and tk ordignceAjandstate laws regulating building construction.
Signature
Print Name �� �s�.�Z.Q � c.c�l��i'��.,�� Phone Q\'A C>
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE