HomeMy WebLinkAbout2662 Thoreau Dr - Permits/Electrical - 01/11/2010City of
F6rt Collins
Site Address: 2662 THOREAU DR
Job Valuation: $75.00 Category: Residential
Owner: DALE, DAVE
2662 THOREAU DR
FORT COLLINS, CO 80524
Zoning: Front setback: Rear setback:
Zoning district: LMN Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Stock plan #:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B1000148
Issued Full: 01/11/2010
Permit Type: Residential Electrical
Phone: 231-2548
Right setback:
ZBA Case #:
Filing #: Lot #: 2
Ind sq ft:
Const Type:
Stock plan options:
Left setback:
Minor Amend M
Basement sq ft:
Block #: 5
Contractor: License #: Supervisor cert #:
Phone:
Subcontractor_(sj �'> _ �,��.-% Phone License Number
Work Description: INSTALL 50 AMP PLUG BREAKE
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Ins ections: UGE FNP FNM RE EG FNE
TOTAL FEES PAID AS OF 01/11/10 $16.44 Payment method: Cash
"* Fee Detail Displayed on Next Page
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.
Signatur _ Print Name. V-F, 1L Date: �l
Form Revis oc
Site Address: 2662 THOREAU DR
Job Valuation: $75.00 Category: Residential
Transactions
Method Check Number Date Paid
Cash 01/11/2010
Receipt issued: 01/11/2010 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B1000148
Issued Full: 01/11/2010
Permit Type: Residential Electrical
Amount Paid Comments
$16.44 PAID BY DAVE DALE CASH
$16.44
Fee Amount Amount Paid Date Paid
$15.00 $15.00 01/11/2010
$1.14 $1.14 01/11/2010
$0.30 $0.30 01/11/2010
$16.44
Amount Due
$0.00
$0.00
$0.00
$0.00