HomeMy WebLinkAbout713 Mathews St - Permits/Electrical - 10/29/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 713 MATHEWS ST
PERMIT TYPE PERMIT
ELEC Electrical Alteration
Last Name, First, Middle Initial
ne FREEMAN,MARC
Z Address City/State
3 713 MATHEWS ST FORT COLLINS, CO
0 Zip Phone No.
80524-3312 224-4211
Front Setback Rear Setback
0
Z_ Right Side Setback
Z
Plat File No.
Subdivision/PLID
J
Q
w Lot
J
OCompany Name
F
aAddress
Z Phone
joe Mechanical
0
Rooting
F—
Z Framing
0
V
m Plumbing
V)
Concrete
ZBA Case Number
Block ILot Area
City/State
License No.
License No.
License No.
License Na
License No.
License No.
Zoning District
BUILDING PERMIT
Building Valuation
B0307115 ACCOUNT
PERMIT DATE
10f2:3
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
9713218011
e No.
Lp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
F N E nE EG
ELECTRICAL TO DETACHED GARAGE FROM RESIDENCE - ALL OUTLETS TO BE GFI PROTECTED.
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.
Print name of owner/agent Signature Date TOTAL FEES
FEE I DATE PAID I