HomeMy WebLinkAbout6266 BUCHANAN ST - APPLICATIONS - 5/23/2003Zip Code
Zip Code
Building Height
s�
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 80522-0580 - Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First
E
CDStreet Address Ple a Specify: LN. DR. CR. WY. P S CT. RD. AV
CD -240 6 *✓
Company Name License Numb
0
SAC' toI ✓� -
R Mailing Address City
3 �/ ✓ - ���
Phone
Z2 �
Ple se Specify: LN. DR. CR. WY. PL S . T. RD. AVE.
JOB SITE ADDRESS Z (0 r ]� UCMq-A-A
rU
Subdivision/P
Filing Number Lot Block
Building Square Footage Number of Stories
2
City_
2
State
Z 0 2- S4 gV
State Zi Code
Supervisor & Cert. #
Lot Area
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
Value of Construction (including labor, material, profit) $ 1 Q 0,/7,f)
Subcontractors:
Electrical 00 !j p/Q EWMechanical(0�1�[ W_.1d Plumbing
Roofing r Concrete Other
I hereby acknowled tha I hav ad th' application and state that the above information is correct and agree to comply with all
requirements con ined rein nd cl o inances and state laws regulating building construction.
R
Ci
a SignatureCL
—
Print Name Q 14 V' ss Phone 7-7 L /- 3,� P V,
I
Yg
Distribution: Original - L & P Yellow - Office