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HomeMy WebLinkAbout1621 Mathews St - Permits/Water Heater - 06/16/2009F6rt of Site Address 1621 MATHEWS ST Job Valuation $1,500 00 Category Residential Owner NOVACK ROBERT E PO BOX 776 WELLINGTON CO 80549 Zoning Front setback Rear setback Zoning district LMN Plat File # Legal Subdivision/PUD Code Res sq ft Com sq ft # of stories Occ Group Stock plan # Contractor LIVERMORE PLUMBING 1425 MT MORIAH RD - LIVERMORE CO 80536 Subcontractor(s), Plumbing RMORE PLUMBING r 111 Neighborhood & Building Services 281 N College Ave Fort Collins CO 8o522 o58o Phone g7o-221-676o Fax 970 224 6134 BUILDING PERMIT # B0903353 Issued Full 06/1612009 Permit Type Residential Plumbing Phone 481 7483 Right setback Left setback ZBA Case # Minor Amend # Filing # Lot # Block # _ Ind sq ft Basement sq ft _ Const Type Stock plan options — License # MP-659 Supervisor cart # — Phone 970 567 1867 -I Phone — License Number 9705671867 MP{59 ❑ i L lJ J Work Description SEPARATE 2 HOT WATER HEATERS 8 RUN SEPARATE LINES SCHEDULE INSPECTIONS ' By Phone 221-6769 """ By Web http //aaweb fcgov com/CltizenAccess" Ins ections RP GL FNP UGP FNM FNE TOTAL FEES PAID AS OF 06/16/09 S53 50 Pavment method Check 2439 Foe Demll Displayed on Neat Pago As a condition for the Issuance of a pernd I hereby declam that I am the owneror owner's agent authonmd to perform the proposed workon the property desvhbed herein I agree to oompiy wM all the requirements contained Herein and City ordinances and State lawsassociated vft such work I understard that suds permit may be revoked in the evert that issuance was brssed m vioorraC irdmrodtm Thin permit shall bemre null and void if the work authorized by such permit is not commenced suspended ebantlmed or not Inspected within 180 days from the date of such permit Signature Print Name o �mt CA Date Form Ravleod Oct 2008 CI*" O� Ne�ghborhood& Ruild�ng Seru�ces �0�� �o����� 28�N Co(legeAue FortColl�ns C08o522 0580 Phonc 970 22t 676o Fax 97� =23-6�34 / �� BUILDING PERMIT# 60903353 Issued Full 06/1612009 Pertmt Type Resident�al Plumbing Site Address 1621 MATHEWS ST Job Valuation 1 500 00 Category Res�denhal Transaetlons ��QQ Check Number Date Pa�d Amount Paid Comments Check CK#2439 O6l16/2009 S53 50 PAID BY JUSTIN FRANZ CK #2439 Rece�pt issued 06/16/2009 Total Paid to Date S53 50 Fee DescrfDtion Account Code Fee Amount Amount Paid Date Paid Amount Due Building Pertnit Fee Without 1000 422010 $25 00 525 00 O6/16/2009 SO 00 Subs City Sales/Use Tax 251 122030 $22 50 S22 50 O6I16I2009 SO 00 County Sales/Use Tax 100 217030 $6 00 $6 00 O6/162009 $0 00 TOTAL FEES $53 50 $53 50 SO 00 = r - - , ; � - � ' �' � -TOTAL BALANCE DUE AS OF 06/16/Z009 0 00 � ^ ❑ � O� �� � � � � � _ � � � �- , , _ Fee Amounts are valid for date ot thia document only Fees subJect to change without notieo Fortn RwbsA Ocl 2008