HomeMy WebLinkAbout611 Mathews St - Permits/Furnace - 04/20/2004Community Planning & Environmental Services
Building & Inspections Division
i 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 511 MATHEWS ST
PERMITTYPE MECH Mechanical Alteration
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Z Addri1 MATTHEWS ST city/state
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O Zip 80526 Phone No.
Front Setback I Rear Setback
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0 Plat File No.
Subdivision/PUD
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Company Name
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ZBA Case Number
BUILDING PERMIT
Building Valuation
B040226`
ACCOUNT
PERMIT DATE r ! rr1 /r>nrti� p,;;,l; ' •+ C
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PERMIT LEVEL ISSU-FUL CATEGORY TYPE Residential City Sales/Use Tax
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FORT COLLINS. CO o No. of Stories Building Height
303-579-4001 Building Square Footage Q Stock Plan/Options
Zoning District (See reverse side for ►�Ilnspection Description)
Filing C L F I'llrI
Block Lot Area Q Parcel No. 7 1 J 2 on5
Contractor License No.
City/State
Supervisor Cert. No.
License No.
License No.
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License No.
License No.
License No.
License No.
REPLACE FURNACE WITH 70,000 BTU
As a condition for the issuance of a pa'it, 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 wit all City ordinances, and State laws associated with s k. I understand that such permit may be revoked in the
e t th t issuance was bas on inc rrect or incomplete information. This permit shall beco a null d void if the work authorized by such permit is not
om d, suspended, a ndone or inspected kin 180 days from t e date of st}ch per it or fro the date of the st inspection.
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P nt ame of owner/agent Signature Date TOTAL FEES
$1,800.00
FEE I DATE PAID I
$15.0 4/2U'n4
$27.0 4/20/04
$7.2 1 4/2U/Q<