HomeMy WebLinkAbout613 N BRIARWOOD RD - APPLICATIONS - 1/17/2003Sit ddms
Company Name
Malting Ads
Phone—
BUILDING PEttmm & INsmutoms D1vistoN
P.O. Boot SW • Fort Collins, CO $0522.ON • Phone: 221-6760
BUILDING PERMIT APPLICATION
A"w Scary; Lrr,
JOB SITE ADDRESS
PL, ST CT R0 AY
License Number
ftwe Speedy, LN. DR. CR. WY PL. ST. Cl RD. AVE.
�-1-7
Supervisor & Cert. *
sueaiwsiowu
�3 a" o �uiN� CO 80
Filing Number Lai Block Lot Area
str2ding Square Footage Number of Stories
Z S
Number of Bedrooms/Batwoorns Finished Basement Square Footage
3 ewAopfAj Z101571
Vadate of CoWn iiwolaaino later, fnatedlil. prong $ qb 5 ?� Do
zip
zip code
Buildiing "
DeacrfipOW or Welt&SE/'l6P7-
. 1—(a�1-f , &CLUJOIr67
Electrical _ Mechanical Plumbing
Roofing Concrete Other
I hereby acknowledge that I have tead this applotion add state that the above irdormation is correct and agree to o mply with all
requirements contained herein and city ordinances and state laws regulathv building construction,
Signature
Rint Name Phone 970 v7gooll
Dis"N160 +: tkipiml — L A P Yftw — office