HomeMy WebLinkAbout2605 Mathews St - Permits/Furnace - 01/26/2006Planning & Environmental Services
PERMIT FEES
Building & Inspections Division BUILDING P E RM I T
InCommunity
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
ci ' of Fort caul ns phone (970) 221-6760 Fax (970) 224-6134 60600381
$ 2 j 1
ACCOUNT
FEE
100.00
DATE PAID
JOB
SITE ADDRESS 2605 MATHEWS ST
PERMIT DATE
01/26/2 006
Building Permit w/o Sub
$15.
0 1J26J0
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residenti
Last Name, First, Middle Initial
BRIGGS, LORENE H
Construction Type
Occupancy Group
j
SS
Address City/State
2605 MATHEWS ST FORT COLLINS, CO
up
No. of Stories
O
Building Height
O
Zip
i30525-2111
Phone No.
226-5174
V Building Square Footage0
Stock Plan/Options
Front Setback
Rear Setback
Z
Z
Right Side Setback Left Side Setback
Eli
2
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
Ct FAM
Q
JLot
Block Lot Area Parcel No. 9125207008
Company Name Contractor LicenN
se o.
O
Address
City/State
OPhone
Supervisor Cert. No.
V
Electrical License No.
ro
Mechanical
E `CAN SERVICES, i i C
License No.
H 970
Roofing
License No.
t—
OZ
Framing
License No.
V
Plumbing
License No.
rn
Concrete
License No.
REPLACE FURNACE
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
Print
TOTAL FEES
$15.