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HomeMy WebLinkAbout614 W MYRTLE ST - PERMITS - 10/17/1978CITY OF FORT COLLINS APPLICATION FOR BUILDING PERMIT —SHORT FORM Building Address �-�Q Date of Application (% 19 l o Name a� 3 Mail Address t'� C O City Tel. o. 1(-(S o Name Address cm c City 0 U City License No. Tel. No. 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 „ Signature of owner By Contractor Class of Work Plumbing _Roofing Heating _Fencing Electric _Sprink. Gas Pipe _Storm V Sign Other cn Total VaLae Labor 8-Mat. Description of Work Permit No. Date issued LL.& r- (� ra 2 (� CGT Ii'ZB *- Bldg. fee VALUE I f O O Other Total to") Int. lot Corner lot Rev. C. L. — Street Approved for Ch' f B.I. Zoning