HomeMy WebLinkAbout600 Mathews St - Permits/Water Heater - 08/16/2000ghCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CitvofF Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 600 MATHEWS ST
PERMIT TYPE WTRHTR Water Heater
Last Name, First, Middle Ine MBS, SAMUEL T
� CO
j Address City / Sta
1374 GAY CR i1374 GAY CR iONGMONT, CO
O Zip 80501 Phone No.
V
Z
Z Right Side Setback Left Side
2 Plat File No. ZBA Case Number
_ Subdivision/PUD
Q
w Lot Block 17 Area
J
W
oMechanical
License No.
Rooting
License No.
0
Framing
License No.
co
a'
Plumhi"
License No.
PLUMBING 8r HEATING
MP-15
INSTALLED 40 GALLON NATURAL GAS WATER HEA'
8
BUILDING PERMIT MUCIZAIISIM
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Building .p
Valuation 598.00
B0014979
F CO
PERMIT LEVEL ISSU FUL i
Construction Type
p No. of Stories
O
Building Square Foc
REOL
(See reverse
FNP
08/16/2000
PE RESIDENTIAL
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, suspend ,abandoned or not inspected within 180 days from the date uch permit or from the date of the last inspection.
k10410- Print name of owner/agent c li,
Date
Bing Permit WO"s 1 $15.00