HomeMy WebLinkAbout717 W Myrtle St - Permits/Addition or Alteration - 06/08/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 717 W. Myrtle
Name Loretta Mannix
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Mail Address
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717 W. Myrtle
3
0
Fort Collins, 21
Phone 493-0644
Name AA Electric Inc.
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Address mnar�,a Tlr.
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Fort Collins, Co. 80524
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License No. 731
Phone 484-5133
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Lot
Block
Filing Number
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Subdivision
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PUD-
3
Parcel #
DESCRIPTION OF WORK
Upgrade service, and remodel
Tax #22018
Stock Options
Plan No. Codes
Est. Total Cost $1500.00 _
(including labor material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
Y , J
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. El e Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area L eight
No. Sto t
Lot
Frontage
Occ. to d
c . Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates_
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit --
- — OCa----
Parkland
_
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
--------.------_____._
Storm Drainage
__._------------------
Electric Underground
Total Fees
Distribution Original - Applicant. Blue - Office. Canary - Sales Tax'. Pink - Applicant. Tag - Bitlg Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
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