HomeMy WebLinkAbout619 Monte Vista Ave - Permits/Electrical - 02/22/2017/.F�o�rt Collins
Site Address: 619 MONTE VISTA AVE
Job Valuation: $2,000.00 Category: Residential Remodel
Owner: HARRIS JOHN T
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700839
Issued Full: 0212212017
Permit Type: Electric Service Change
619 MONTE VISTA AVE
FORT COLLINS, CO 80521-3561 Phone: 970-217-8972
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 Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: RMS
4923 W. 9th St Drive
Greeley, CO 80634
Subcontractors)
Electrical: RMS
Job Contact: Robert Siebrase
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Work Description: Install new electric service and breaker
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: ME-1511 Supervisor cart #:
Phone:970-227-1754
License Number
❑ ME-151.1�
rvice to 125 AMP. Install per NEC 14
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: FNE EG
TOTAL FEES PAID AS OF 02/22/17: $70.00 Payment method: Check 119
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 Stale 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: Erintame: (/ Date:
FoIrmlRevised Oct 2010
City of
Fit Collins
Site Address: 619 MONTE VISTA AVE
Job Valuation: $2,000.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1700839
Issued Full: 02122/2017
Permit Type: Electric Service Change
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK# 119 02/22/2017 $70.00 RMS ELECTRIC LLC paid with check 119
Receipt issued: 02/22/2017 Total Paid to Date: $70.00
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$38.50
$38.50
02/22/2017
County Sales/Use Tax 100.217030
$6.50
$6.50
02/22/2017
Permit Flat Fee w/o Subs $25 1000,422010
$25.00
$25.00
02/22/2017
TOTAL FEES:
$70.00 $70.00
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 02/22/2017: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.