HomeMy WebLinkAbout420 N SHERWOOD ST - APPLICATIONS - 4/11/2003City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
PE A Y , -hv�J-
&1
riwne
72 0�9�
c
Street Address Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE.
City State
Zip Code
►- a ry
CoClJns .b
8052.1
Company Name License Number
Supervisor & Cert. #
—�
tS
Mailing Address City
State
Zip Code
c
0
QD
Phone
Please Specify: LN. DR. CR. WY. PL. ST CT. RD. AVE. Zip Code
JOB SITE ADDRESS�� NOS- �c(,LvC?Gl� �i�77';TL ��, CdGUs2.s Cd CgOSZ,/
Subdivision/PUD
A
C"
Filing Number Lot Block Lot Area
Building Square Footage Number of Stories
o Building Height
a
3
L
Number of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ '
1
Description of Work:
A� r�L. �o ►� � �i, �/oc.l� � #�i v�st�� ,YL c�eS�-+'►'l. ►�vorY� s ors.
13,
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
I nereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements containI herein and city ordinances and state laws regulating building construction.
A
Signature
a
I Print Name
Phone 4-72—'o`/ 95
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE