HomeMy WebLinkAbout217 S Mack St - Permits/Electrical - 05/15/2012Icity of
Fort Collins
Site Address: 217 S MACK ST
Job Valuation: $1,300.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1202862
Issued Full: 05/15/2012
Permit Type: Electric Service Change
Owner: DICKENSON GREG / MUNSON ELIZABETH
217 MACK STREET
FORT COLLINS, CO 80521 Phone: 970-691-7008
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS ELECTRIC
P.O. BOX 2008
FORT COLLINS, CO 80522
Subcontractor(s)
Electrical: FORT COLLINS ELECTRIC
Job Contact: GREG,W WHITEHEAD
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: ME-250
Phone: 970493-7591
Phone
970-493-7591
Supervisor cert#:
License Number
ME-250,
Work Description: REPLACE RESIDENTIAL SERVICE. UPGRADE FROM 70 AMP TO 100 AMP SERVICE. INSTALL -PER
2011 NEC.
SCHEDULE INSPECTIONS: 'By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Ins ections: FNE EG
TOTAL FEES PAID AS OF 05/15/12: $25.00 Payment method: Check 1374
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror 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 taws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on inconed infomwtion. This permit shall became null and void if the work auBwr¢ed by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit
Signature:. rm Name: wYLf Date:
Form Revised Oct 2010
('Ity �f Community Development&r Neighborhood Seruices
�r
�ort Coll i ns Z81 N. CollegeAue Fort Collins,C0 80522
97o.2u.6y6o 970.224.6i34 -f�
Building Permit#: 61202862
Issued Full: 05N5/2012
Permit Type: Electric Service Change
Site Address: 217 S MACK ST
Job Valuation: 1 300.00 Category: Residerrtial Remodel
Transactions
Metlio� Check Number Qate Paid Amount Paid Comments
Check CK#1374 OS/15/2012 $25.00 PAID BY FORT COLLINS ELECTRIC INC CK#1374
Receipt issued: 05/15/2012 Total Paid to Date: $25.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Permit Flat Fee w/o Subs$25 1000.422010 $25.00 $25.00 05/15/2012 $0.00
TOTAL FEES: $25.00 $25.00 $0.00
TOTAL BALANCE DUE AS OF 05/15/2012: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010