HomeMy WebLinkAbout719 Stover St - Permits/Electrical - 05/10/2013fins
Site Address: 719 STOVER ST
Job Valuation: $1,500.00 Category: Residential Remodel
Owner: JACKSON TIM/CYNTHIA
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134-fax
Building Permit #: B1301606
Issued Full: 05/10/2013
Permit Type: Electric Service Change
865 HALL AVE
GRAND JUNCTION, CO 81501 Phone: 970-216-5382
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BLUELINE ELECTRIC LLC
3757 DALTON DRY
FORT COLLINS, CO 80526, \ ,'
Subcontractor(
Electrical: BLUELINE ELECTRIC LLC/
Job Contact: FLEROY V RIOS, JR
1
Work Description: Upgrade service from 125 AMP to 200.AI
Filing M Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan. options:
License #: ME-1187 Supervisor cert#:
Phone: 970-568-8239
Phone
970<568-8239
7O
and temporary power to existing house.
License Number
ME-1187
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
"""By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNE EG
TOTAL FEES PAID AS OF 05/10/13: $58.38 Payment method: Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror ownefs 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 assodated with such work. I understand that such permit may be
revoked in the event that issuance was based on incom)d 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 daysfrom the date of such permit.
Signature: Print Name: d.- Date:
Form Revised Oct 2010
F�o�r.'t Collins
Site Address: 719 STOVER ST
Job Valuation: $1,500.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Credit Card 05/10/2013
Receipt Issued: 05/10/2013 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$58.38
$58.38
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit #: B1301606
Issued Full: 05/10/2013
Permit Type: Electric Service Change
Comments
Paid by Leroy V. Rios - Blueline Electric, LLC credit card
Fee Amount
Amount Paid
$28.88
$28.88
$4.50
$4.50
$25.00
$25.00
$58.38 $58.38
Date Paid
Amount Due
05/10/2013
$0.00
05/10/2013
$0.00
05/10/2013
$0.00
$0.00
TOTAL BALANCE DUE AS OF 06/1012013: 0.00
0
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010