HomeMy WebLinkAbout1719 Mathews St - Permits - 12/30/1999 (3)eb Community Planning & Environmental Services g lJ I LD I N G PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation $1,505.00
Fort Collins, CO 80522-0580 B0010534
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 1719 MATHEWS ST FTC0 PERMIT DATb'/Mvw' ^
ccWV AkruVP•rmaworsub: $15.00 2/03/2000
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration Issu wL FlesmEnlnnL
Last Name, First, Middle Initial Construction Type Occupancy Group
— --- - --
ad KENNY.PAULJ
out
Z Address 15M W OAK City / SFaVlc� � COLLINS, CO p No. of Stories Building Height
3 00 —--- _- -- ---.._.__.._ .._ .
Zip 80521 Phone No. Building Square Footage 0 Stock Plao/Options
Front Setback Rear Setback � 1 •
Z_ Right Side Setback Leff Side Setback
Z • 1 •
� Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subd,v,.,.n/PUD Filing GL FNM
a
wLot Block Lot Area 0 Pameff24217038- --- - -- -- --- _ - -- -- --
OCompany Name Contractor License No.
Add.. City/State ------------
O rt. No.
Phone Supervisor Ce
Electrical License No.
Rr0i Mi FURNACE CO. License Nov
Rooting
License No.
Z
Framing License No. - --_ -_ -- - -- --
N Plumbing 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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
i�yC rci Man )r-� 2- 3 C19
Pnnt name o owner/agent Signature Date TOTAL FEES