HomeMy WebLinkAbout704 Mathews St - Permits/Water and or Sewer - 06/08/2001Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
$300 00
City of Fod Collins
.�.�� Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 704 MATHEWSST
PERMIT DATE 06/08/2001
Building Permit who Subs
City Sales/Use Tax
Count Sales Use Tax
Y I
$15,0
$4.5
$ 1. 2
6(810
6;✓8/0''.
6/8/0
PERMIT TYPE PLUM Plumbing Alteration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
ANDERSON, MARKA
Construction Type
Occupancy Group
Address
704 MATHEWS ST
City / State
FORT COLLINS, CO
p No. of Stories O
o
Building Height O
Z
3
Zip 80524-3313
Phone No. 28-3406
Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
•
Z
Right Side Setback Left Side Setback
Z
• •
�
Plat File No. ZBA Case Number Zoning District
(See reverse side or Inspection Description)
RP FNP
Subdivision/PUD
Filing
J
Q
0
Lot
Block
Lot Area
Parcel No. g 713 217 014
Ix
oMechani
Roofing
Z
Z
Framing
U
w Plumbirt
License No.
REPLACE WATER LINE TO HOUSE
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 not inspected within 180 days from the date
Aa of such permit or from the date of the last inspection.
1`'1Qar�ersr�h k A Akio a ICe JVL-t 0
Print name of owner/agent Signature Date TOTAL FEES