HomeMy WebLinkAbout704 Mathews St - Permits/Mechanical - 08/25/2003Community Planning & Environmental Services
Building & Inspections Division
i P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
219191Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS704 MATHEWS ST
'ERMIT TYPE PEf
PLUM Plumbing Alteration
Last Name, First, Middle Initial
ANDERSON, MARK A
Z Address City/State
704 MATHEWS ST FORT COLLINS, Ct
0 Zi Phone No.
80524-3313 484-1827
Front Setback Rear Setback
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PLID Filing
J
Q
wLot Block Lot Area 0 Parcel No..
J d-1 q `J2 171 r� U 14
W r,,.,,--, I Contractor License No.
Address
Phone
Electrical -
License No.
Mechanical
License No.
O
H
License No.
URoofing
~
Z
Framing
License No.
0
m
V)
Plumbing
License No.
N
Concrete
License No.
REPLACE BOILER FOR HOT WATER HEAT SYSTEM
HOMEOWNER TO DO WORK
W
I
BUILDING PERMIT
Building Valuation
B0305602 ACCOUNT
PERMIT DATE
08/25/ 200"3 ui!ding Permit w/o Subs
_EVEL CATEGORY TYPE
ISSU FUL Residential My Sales/Use Tax
Construction Type Occupancy Group
ohnty Sales/Use fax
Wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
RP UL "iP
Asa ndition 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.
1�1Ar TOTAL FEES
PPr ht name of owner/aaent Signature Date
FEE
DATE PAID
$44,50
uo/25/03
$48.00
8/25/03
$12.80
8IL5JU3
$105.30