HomeMy WebLinkAbout318 W Myrtle St - Permits/Electrical - 03/08/1985City Of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of for only.
Press firmly using ball point pen.
Job Address
Name"
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Mail Address
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Phone
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Name
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Address
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License No.
phone
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Lot Block Filing Number
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ESCRIPTION OF ORK
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Stock Options
Plan No. _ _. Codes
Est. Total Cost
(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.
— -- - - —
signed ,, date
- CLASS OF WORK -
New Alteralijilon Addition Demolish Move
❑ V❑ ❑ ❑
Plbg. Mec Ie Struct. Fire Prot.
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Occ. Gr. (Type Const.
Use Zone
Use of Building
Floor Area
Height- -
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Esprit. 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
-
Parkland
City Sales Tax,M
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees -
D,slnNihon Onginal - Appl,.rl (line - Office: Canary - Sales Ta> Pink - Applicant Tag - Bldg Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
16 , 2
it -I
Permit No.
Date