HomeMy WebLinkAbout617 W MYRTLE ST - PERMITS - 5/26/2005Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134 It 2
B0502463 ACCOUNT FE DATE PAID
JOB SITE ADDRESS PERMIT DATE
PERMIT TYPE PERMIT LEVEL CATEGORY TYP r Building Permit w/o Subs $15.0 5/26/05
Last Name, Fir9f,'17101b Initial dI%truction Type Occupancy Group
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Z Addr City/State O No. of Stories Building Height
0 ZipU
Phone No. Building Square Footage Stock Plan/Options
0
Z_ Right Side Setback
Z
0 Plat File No.
_ Subdivision/PLID
Q
w I Lot
J
0 Company Name
GAddress
f1c Mechanical
0
Roof g
Framing
O
U
50 Plumbing
D
N
r
REPLACE FURNACE
Left Side Setba
ZBA Case Number
Block Lot Area
Contractor Lia
City/State
Supervisor Cert. No.
License No.
License No.
License No.
License No.
License No.
coning uisvict I (See reverse side for Inspection Description)
Filing
CL FNM
Parcel No
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, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent
Signature
Date
TOTAL FEES