HomeMy WebLinkAbout619 WHEDBEE ST - APPLICATIONS - 12/23/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 805=-0580 • Phone: =1-6760
BUILDING PERMIT APPLICATION
Last First
CDStreet Address Please � Specify: LN. DR. CR. WY PL..` S1 CT. RD. AVE
61 q W
Company Na a License Number
1<i e 1, 0 ul cItrTNc, -2 o
Middle Phone
Z/8 Z. -.2 -2B
City State Zip Code
co tiAls CO 8"�S
Supervisor & Cert. #
R Mailing Address City State Zip Code
0
Gl �Zi -Holt 1/ve , C —2-16,
" I Phone
Please
Specify: LN. DR. CR.
WY. PL. ST. CT. RD. AVE.
Zip Code
JOB SITE ADDRESS
Subdivision/PUD
R
ra
Filing Number
Lot Block Lot Area
I Building Square Footage Number of Stories
0
r,
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
c�
Value of Construction (including labor, material, profit) $ 0�y ��-
Description of Work: Are j /Zl ' k 4 f N , nCA / f-
Zr=
Building Height
Subcontractors:
O
Electrical G ��� nC Mechanical Plumbing /SW
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 cont ' ed here' and city ordinances and state laws regulating building construction.
R
a Signature
a
Print Name IC I( Phone cF; 1
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE