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HomeMy WebLinkAbout1408 Banyan Dr - Permits/Electrical - 08/17/2009City of F6rt Collins Site Address: 1408 BANYAN DR Job Valuation: $800.00 Category: Residential Owner: DUMKE, PAUL R Neighborhood & Building Services 281 N. College Ave. Fort Collins, CO 80522-o58o Phone:970-221-676o Fax:970-224-6134 BUILDING PERMIT #: B0904938 Issued Full: 08/17/2009 Permit Type: Residential Electrical 8442 W 24TH AVE LAKEWOOD, CO 80215 Phone: 303-238-4472 Zoning: Front setback: Rear setback: Right setback: Left setback: Zoning district: RL Plat File #: ZBA Case #: Minor Amend #: Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: Stock plan #: Stock plan options: Contractor: OVERLOOK ELECTRIC License #: ME-762 Supervisor cert#: 2475 AGATE DR LOVELAND, CO 80538 Phone: 970-663-2913 Subcontractor(s) Phone - License Number Electrical — -OVERLOOK ELECTRIC 970-663-2913 ME-762 i Work Description: INSTALL NEW ELECTRICAL PANEL— - **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 08/17/09 $30.20 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 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: Print Name: t 5/a Date: (S - l/ Form Revised Oct 2008 City of F6rt Collins /11100� Site Address: 1408 BANYAN DR Job Valuation: $800.00 Category: Residential Method Check Number Date Paid Amount Paid Credit Card 08/17/2009 $30.20 Receipt issued: 08/17/2009 Total Paid to Date: $30.20 Fee Description Account Code Fee Amount Building Permit Fee Without 1000.422010 $15.00 Subs City Sales/Use Tax 251.122030 $12.00 County Sales/Use Tax 100.217030 $3.20 Neighborhood & Building Services 281 N. College Ave. Fort Collins, CO 80522-o58o Phone:970-221-676o Fax:970-224-6134 BUILDING PERMIT #: B0904938 Issued Full: 08/17/2009 Permit Type: Residential Electrical Comments PAID BY OVERLOOK CC Amount Paid Date Paid Amount Due $15.00 08/17/2009 $0.00 $12.00 08/17/2009 $0.00 $3.20 08/17/2009 $0.00 TOTAL FEES: $30.20 $30.20 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.