HomeMy WebLinkAbout931 DERHURST CIR - APPLICATIONS - 3/24/2003Butt.DrNG PERmyrs & INSPECTIONS DIVISION
P.O. Box 580 • Foot Collins, CO 805224584f •Phone: 221.6760
BUILDING PERMIT APPLICATION
JIB Ilan
Last first Midd
Street Address Prise SXCf, M 00 CA wx Pl. 51 Cr Ro Avc City
R3 eel ` �.
Cc'nparty Name License Number
Malting Address City State
eeA,A- 070 -3 77 ;
_... _.......
State Zip Co(
KS
111,10 --
Supergtsof a Cert
Zip Coo
Aftse LN DR CR Wv PL. ST. CT. RD, AVE, _ Zip Code
minivistorvruu
I te -r
King Nt er Lo
Surkting Square Footage Number of Stories
tiurubcr of Beroom&'Bathrocros F"mdhed Basement Square foota e
3y.
Vabte of C+araKtrUctOa (1*19d ng labor, material, prolk) $ °
06SO i "of :
Bloch Lot AM
Subratetors:
Electrical — — Mechanical Plumbing
Rooting Concrete _w Other
i.
I rtereby acknowledge that I
requirements contained beet
Signature
Rint Name
Building Height
read this appli xiw and state that the above intormation is correct aw agree to comply With all.
d city ordinances and state laws regulating buildietg construction.
Distrfthort Ofi al - L & P voilow - office
C 9 70—at7-1&5-0