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HomeMy WebLinkAbout1204 W Myrtle St - Permits/Reroof - 10/24/1979CITY OF FORT COLLINS APPLICATION FOR BUILDING PERMIT —SHORT FORM Building Address 2 p ! r Date of Application 19 Name, ° 3 Mail Addr ss O City Tel. No. o Name Address m c City ° U City License No. � 2 � Tel. No. L2( Occupancy Group A, B, C, D, E, F, G, H, I, J Division 1, 2, 3, 4 Use Zone —RE, RL, RLM, RM, RH, RP, RMP ML, MM, BP, BL, HB, BG, C, IL, IG Fire Zone 1, 2, 3 PUD Signatur f owner By Cont Class of Work Plumbing Roofing Heating _Fencing Electric Sprink. Gas Pipe _Storm W Sign _Other Total Value Labor & Mat. Description of Work Permit No. Date issued f Bldg. fee VALUE �z�O � Other Total J-r .0 I nt. lot Corner lot Rev. C. L. —_ Street Approved for Chief B.I. Zoning B.I. f' '-)/�b