HomeMy WebLinkAbout802 Smith St - Permits/Electrical - 04/09/2009of
,F6rt,
Site Address: 802 SMITH ST
Job Valuation: $560.00 Category: Residential
Owner: HUMPAL, JOHN R/LAURIE K
1901 MACKENZIE CT
FORT COLLINS, CO 80525
Zoning: Front setback: Rear setback:
Zoning district: NCM Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft: _
# of stories: Occ Group:
Stock plan #:
Contractor: ALLIANCE ELECTRIC, INC.
5340 CRESTVIEW LN.
FORT COLLINS, CO 80526
Subcontractor(s)
Electrical: ALLIANCE ELECTRIC, INC.
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0901940
Issued Full: 04/09/2009
Permit Type: Residential Electrical
Phone: 970-484-9196
Right setback: Left setback:
ZBA Case #: Minor Amend #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: ME-709
Basement sq ft:
Phone: 970-225-6464
Phone
970-225-6464
Supervisor cert #:
License Number
ME-709
Work Description: REPLACE ELECTRIC PANEL AND ELECTRIC METER WITH NEW METER/PANEL COMBO -
NO SERVICE UPGRADE.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 04/09/09 $25.64 Payment method: Check 4124
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and 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 information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature: G — Print NamehllC .l Date:
Form Revised Oct 2008
. City of
F6rt Collins
Site Address: 802 SMITH ST
Job Valuation: $560.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Check CK # 4124 04/09/2009 $25.64
Receipt issued: 04/09/2009 Total Paid to Date: $25.64
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $15.00
Subs
City Sales/Use Tax 251.122030 $8.40
County Sales/Use Tax 100.217030 $2.24
TOTAL FEES:
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0901940
Issued Full: 04/09/2009
Permit Type: Residential Electrical
Comments
ALLIANCE ELECTRIC, INC
Amount Paid
Date Paid
Amount Due
$15.00
04/09/2009
$0.00
$8.40
04/09/2009
$0.00
$2.24
04/09/2009
$0.00
$25.64 $25.64
TOTAL BALANCE DUE AS OF 04/0912009:
$0.00
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.