HomeMy WebLinkAbout411 W MYRTLE ST - PERMITS - 4/18/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
-
Fort Collins, CO 80522-0580
City of Fort Collins
$ 1 7 5 0.0 0
phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 1 7 2 3
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 411 WMYRTLE ST
PERMIT DATE 0 4 10j2005
Building Permit Subs
$29.5
4/18/05
//
w/o
PERMIT
TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
EVERGREEN PROPERTY MANAGEME
Construction Type
Occupancy Group
Address
1000 DRIFTWOOD DR
City/State
I FORT COLLINS, CO
wp No. of Stories
Building Height
Zip Phone
80525
No.
266-5600
O
Building Square FootageStock Plan/Options
0
Front Setback Rear
Setback
Z_
Right Side Setback Left Side Setback
•
Z
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
R00
_
Subdivision/PUD
Filing
Q
J
Lot
Block
Lot Area
O
Parcel No. 9714111016
OCompany
Name Contractor
License No.
Address City/State
OPhone
Supervisor Cert. No.
U
Electrical
License No.
W
Mechanical
License No.
Roofing
c i nROOFING, INC
License No.
0 1229
Framing
License No.
ZZ
U
m
Plumbing
License No.
TEAR OFF AND REROOF USING 17.5 SQUARES
8
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
/suspended,
,aabandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent �ature to TOTAL FEES