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HomeMy WebLinkAbout1809 CHURCHILL CT - APPLICATIONS - 10/11/2004BUTI-DI'YG PERMITS & INSPECTIONS DIVIsioN P.CIL got %0 • fort Coliin+, CO SM22.050 • Phone. 221.6760 BUILDING PERMIT APPLICATION Ilppffoes" note ` ��ba V 1V1A0 Street Address .09%t SWVY L& DR CA Wr PL $t Cr ND l '?vq G14L;1Zl� a I pane �Iae License dumber 11-6, city State Zip Cooe aU� Iq � �D 5z� Superviscf & Evert A` ►daa+np Address City Stale Tip Code a= JOB SITE WRESS Vase 5oecdy LII DR CR Wv PL ST. CT AD. AVE Zip Corte �� _ e..�.,E....,...n�, ?' &4e l . f�;nrg 61tr1 Lo' Block Lot area 90 �rfing Squaie Fcotage Number of Stones - ---- Building Heipt Numberpf Bedr orns.Bainrocros fimshedBasernem Square Footage 12 ` 2— '?5D a� Valve of Constnxtwrn (including labor, material, profit) $ (900 Description of W : OD lni tt4C)-0L � --iD WIJ 1 lD 2_Z0 w i I t4'�T t C� t-t'a + 10-A W AH V SubcoMractas: Electrical _.r lhecllanical Plumtrnp Rootino Concrete Other I rfereey Acknavr<edge that I have WC this apPbcabon and state !hat the above inforrnatinn is correct and agree to comply with al reoirements rft herein and city o nances and state laws regulating b1A1dV19 construction. .� 5iQnature Print Name 1! l li!�� �s�° Phime 0iS Jawi Orrc;:<al - L 6 P WJDW - QI "