HomeMy WebLinkAbout821 MATHEWS ST - PERMITS - 1/28/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
FEES
40AZQ%=)W1 P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B a 3 0 0 4 7 8
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESSe21 MATHEWS ST PERMIT DATE
PERMIT
TYPE 1 /28/2003
uilding Permit w/o Subs
$30.00
1/28/03
PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Residenfial
Last Name, First, Middle Initial Construction Type Occupancy Group
WATKINSON GENE A/KATHY A
W
Z
3
Address City/State p No. of Stories Building Height
821 MATHEWS ST FORT GOWNS, CO 0 0 0
0
Zip Phone No. V
8W24-3314 493-8497 Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
! !
Z
Z
• •
Right Side Setback Left Side Setback
2
Plat File No.
• , • •
ZBA Case Number Zoning District
Subdivision/PLID Filing
(See reverse side for Inspection Description)
G L F N M
J
wLot
Block Lot Area Parcel No.
0 9713221003
Company Name Contractor License No.
W
Address City/State
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
POUDRE VALLEY AIR
H-835
Roofing
License No.
H
License No.
OFraming
V
Plumbing
License No.
co
N
Concrete
License No.
REPLACE FURNACE AND INSTALL NEW AC
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.
'
'
ame of owner/agent Signature Dat 1'^�
Print
TOTAL FEES
$30.00