Building - Unknown - 3470 S Donnington - 10/21/2011No. V•g)
City of Eagle Building Permit Application - Residential
THE UNERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS:
Contractor Co. Name: I ) Col f?`ruc7i,1
Contact Name:
Company Address:) Co7S j
City, State, Zip 1130, SP l p 3 7/-
State License# I kC: 2)02
Expiration Date:I , l y /
Phone:I 7,211-'-135e
Fax:
Home Owner:
Owner Address:
City, State, Zip
Owner Phone:
Date I /0 - 1
Structure Type: ZNew
(Choose one from each row)
( Home C' Garage X Shed
eceipt #
INTERIOR
WALLS
prywall
✓ Firewall
✓ Other
( Addition
( Remodel C Other
C Pool ( Patio (' Other
HEAT
r Gas
r Electric
r Other
THIS P
regula
Code
Eagle
done
will be
regula
Remarks: lb— a1-1k LC\
SLA114,. A 'tea Q a S
of Eagle -Water $
BP TOTAL DUE .:'.$ Total with Water $
APPUCANT IS RESPONSIBLE FOR LOCATION
In 100 Yr Floodplain?
(` Yes 7 No
Subdivision:
Lot:l—S
Blc
/' l
/ Permit Address: 3'170 5 1
HOA/ACC Required?
Applicant Signature �'�_