HomeMy WebLinkAbout1809 WILLOW SPRINGS WAY - APPLICATIONS - 5/6/2003City of Fort Collins
Last
BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Application Date 0
First Middle Phone
3 Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE
0
I OM wXu.a W s 66 W
Company Name License Number
tS Mailing Address City
7-157.
w r
G' Phone
Please Specify: LN. DR. CR. WY PL. ST CT RD. AVE.
JOB SITE ADDRESS IA fipl \N1I J,A%Ai �IX I HtA
Subdivision/PUD
A
a+
Filing Number Lot
L
N
C
.3
C.3
Building Square Footage
"5-6a 0
Number of Bedrooms/Bathrooms
AWr6G—i2-3g
City State Zip Code
ed S257
Supervisor & Cert. #
State Zip Code
Block Lot Area
Number of Stories
Finished Basement Square Footage
r�/ { `� �/ 0
0&
Value of Construction (including labor, material, profit) $ 17af 000 ,
66
1 Zip Code O
I
Building Height
i1 1-1 /
Description of Work: �XS �- �� 4-
Subcontractors: t
Electrical CarJ ^3 EQ- E�- - Mechanical � S�ScAS Plumbing AUL , , ^4
Roofing A- Concrete 1310, Framer
I hereby acknowledge that I have read t lication and state that the above information is correc# and agree to comply with all
requirements contain herein and city divan a nd state laws regulating building construction.
a Signature
fl.
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Print Name 4�•2-/ E l�9N-�Z�2 Phone q72 -A f 86 t �(
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE