HomeMy WebLinkAbout343 N Shields St - Permits/Electrical - 05/09/2012,;arof
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Site Address: 343 N SHIELDS ST
Job Valuation: $800.00 Category: Residential
Owner: STONE JERRY RICHARD II
36 WELLS EAST DR
HILTON HEAD ISLAND, SC 29925
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Phone:232-5917
Building Permit #: B1202729
Issued Full: 05/09/2012
Permit Type: Residential Electrical
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
Com sq ft:
# of stories:
Occ Group:
Fire Sprklr:
Stock plan #:
Contractor: DAVECO
2615 W MULBERRYST
FORT COLLINS, CO
80521
Subcontractors)
Electrical: DAVECO
Filing #: Lot #: Block #:
Ind sq ft:
Const Type
Stock plan options:
License #: ME-803
Phone: 970-498-0664
Phone
970-49&0664
Basement sq ft:
Supervisor cert#:
License Number
ME-803 _
v'
Work Descriotion: CHANGE OUT EXISTING ELECTRIC MAIN BREAKER AT SERVICE ENTRANCE PER 2O9 NEC=,NO
CHANGE IN AMPS
II SCHEDULE INSPECTIONS: *"* By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess II
***Bv Mobile Device: http://amos.fcoov.com/CitizenAccess/amca/
Illnspections: UGE FNP FNM RE EG FNE II
TOTAL FEES PAID AS OF 05/09/12: $51.85 Payment method: Check 4151
" Fee Detall 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
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: 00,U Date: E'-?_ /a
Form Revised Oct 2010
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Site Address: 343 N SHIELDS ST
Job Valuation: $800.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1202729
Issued Full: 05/09/2012
Permit Type: Residential Electrical
Check CK # 4151 05/09/2012
$51.85
PAID BY DAVECO 06-02 CK#4151
Receipt issued: 05/09/2012 Total Paid to Date:
$51.85
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$33.25
$33.25
05/09/2012
$0.00
Subs
City Sales/Use Tax 251.122030
$15.40
$15.40
05/09/2012
$0.00
County Sales/Use Tax 100.217030
$3.20
$3.20
05/09/2012
$0.00
TOTAL FEES: $51.85 $51.85 $0.00
TOTAL BALANCE DUE AS OF 05/09/2012: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010