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HomeMy WebLinkAbout416 MATHEWS ST - PERMITS - 1/17/2003Community Planning & Environmental Services Ala N, b 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 ADDRESS416 MATHEWS ST PEF PERMIT TYPE MECH Mechanical Alteration —I —Last Name, First, Middle Initial = r1t1ryG ZAddress 3 P.O. BI 0 Zi22 Front •Setbac 0 Z Right Side S Z Q Plat File No. Subdivision/ J Q'V^ ll l Lot J OCompany N Address F— Z Phone 1808 FORT C( Phone No. 493-6418 Rear Setback I Left Side Setback w mecnanicai 0 POUDIRE VALLEY AIR Roofing H Z Framing 0 U co Plumbing N Concrete ZBA Case Number I Zoning Block ILot Area FURNACE REPLACEMENT 0 Contractor License License No. License No. H- License No. License No. License No. License No. BUILDING PERMIT Building Valuation 60300240 ACCOUNT PERMIT DATE 1 / 17/2003 uilding Permit w/o Subs LEVEL CATEGORY TYPE Residential ISSU FUt_ Construction Type Occupancy Group w No. of Stories Building Height 0 0 0 U Building Square Footage Stock Plan/Options (See reverse side for Inspection Description) GL FNM 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 ownerlagent Signature Date TOTAL FEES FEE DATE PAID $15.00 1/9 10 3