HomeMy WebLinkAbout1621 Mathews St - Permits/Water Heater - 12/30/1999CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address (P a
A
Date of Application 19
d
Name
3
Mail Address
O
City TeL No.
o
Name
0
Address
m
City
U
City License No. Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner
Class of Work
Plumbing Roofing
Heating
_Fencing _
Electric
_Sprink. _
Gas Pipe
_Storm W _
Sign
_Other _
Permit No.
i��0k"
VALUE
Int. lot
Total Value Labor & Mat. Corner lot
Description of Work
alitx A"^/
Date issued
Bldg. fee
Other
Total
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
By Contractor I I B.I