HomeMy WebLinkAbout118 S WHITCOMB ST - APPLICATIONS - 7/30/2004BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins,.CO 80522-0580 • Phone: 221-6760
www.fcgov.com
BUILDING PERMIT APPLICATION
Last
First —
Middle Phone
c
Street Address 29se
Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE.
City State Zip Code
V,k—\ C.0VM
Compan Name
License Number
Supervisor & Cert. #
ca 0
Mailing Address,
City
State Zip Code
C, t>
r,
w
na
Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
JOB SITE ADDRESS
Subdivision/PUD
CM
i ( Filing Number Lot Block Lot Area
IBuilding Square Footage Number of Stories
I I Number of Bedrooms/Bathrooms Finished Basement Square Footage
w
Building Height
Value of Construction (including labor, material, profit) $
Descripti ork:
r LSi O
P 0— 12G
r _ r�
Subcontractors: �d
Electrical _ Mechanical
Roofin0 &r k A -A eJ r.nncrptp
Plumbing
Framer _
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements c ntained herein and city ordinances and state laws regulating building construction.
.a Signatur
a
Print Name 1,,�►�.y`� yj �x Q,.,.A Phone L1012p
Distribution: Original - L & P Yellow - Office el -
'THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE