HomeMy WebLinkAbout1310 W Myrtle St - Applications/Addition or Alteration - 05/08/2003�i3Y2
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052M580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last
First
Middle Phone
3
Street Address Please
Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
City j State Zip Code
0
o
r. 60 Cosa
Company Name
License Number
Supervisor & Cert. #
Mailing Address
City
State Zip Code
L
0
Phone
Please Specify: LN. DR. CR. WY PL. ST. CT. RD. AVE.
Zip Code
JOB
SITE ADDRESS
-� /0 (,j m u _ 4 lam. 51 S1
cu\l;n 5ic> e-- a 1
Subdivision/PUD ` \\
a+
Filing Numb Lot
0
iV
VJ
C
Qj
Building Square Footage
Number of Bedrooms/Bathrooms
I / )
Block Lot Area
3 i-3, 3a o
Number of Stories
Finished Basement Square Footage
Building Height
j q
Value of Construction (including labor, material, profit) $ pz
Description of Work:
Subcontractors:
Electrical ��o c k o L Mechanical Plumbing Z).&O1
Roofing `� � c Concrete \� m\)v,c,c;, o hc.r *Az— Framer S Q
R
CJ
n
o.
a
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contained herein and city ordinances and state laws regulating building construction.
Signature
Print Name � ; �� )\ �y,�\ Phone -7, } g —
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE