HomeMy WebLinkAbout1504 E Pitkin St - Permits/Electrical - 05/16/2012of Community Development & Neighborhood Services Ci}"
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1202891
Issued Full: 06/16/2012
Site Address: 1504 E PITKIN ST
Job Valuation: $400.00
Owner: N/A
FORT COLLINS, CO
Zoning: Front setback:
Minor Amend #:
Zoning district:
Legal: Subdivision/PUD:
Category: Residential
Rear setback:
Plat File #:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
Electrical: __CIT_Y_OF FORT COLLINS
Job Contact: I BRYAN GARRETT
Permit Type: Electric Service Change
Phone:
Right setback:
ZBA Case #:
Left setback:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: ME-1249
Phone: 566-7046
Basement sq ft:
Phone
�566-7046 i r
Supervisor cert#:
License Number
ME-1249
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Work Description: RELOCATE NEW ELECTRIC AS PART OF -THE CITY OF.FORT-COLLINS POWER -PROJECT RUNNING
NEW POWER LINES UNDERGROUND. AS PER THE 2011 NEC
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FINE EG
TOTAL FEES PAID AS OF 05116/12: $50.00
1520000.533999.3690.15202368C
" Fee Detail Displayed on Next Page
Payment method: Internal Transfer
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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.
21 L I
Signatur . Print Name: 1 t t 1 //!w r�A ►', Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1504 E PITKIN ST
Job Valuation: $400.00 Category: Residential
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Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1202891
Issued Full: 05/16/2012
Permit Type: Electric Service Change
Method Check Number Date Paid Amount Paid Comments
Internal Transfer CK# 05/16/2012 $50.00 CITY OF FORT COLLINS 1520000.533999.3690.15202368C
1520000-533999.369
0.15202368C
Receipt issued: 05/16/2012 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs $50 1000.422010 $50.00 $50.00 05/16/2012 $0.00
TOTAL FEES:
$50.00 $50.00
$0.00
TOTAL BALANCE DUE AS OF 015/16/2012: 0.00
/i
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice.