HomeMy WebLinkAbout500 Tyler St - Permits/Electrical - 03/17/2017of
City Collins
Site Address: 500 TYLER ST
Job Valuation: $300.00 Category: Residential Remodel
Owner: THAI PHILIPPE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1701407
Issued Full: 03/17/2017
Permit Type: Electric Service Change
500 TYLER ST
FORT COLLINS, CO 80521 Phone: 970-581-2951
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID: I Filing #: Lot #: Block #:
Code: Res sq ft: 0 Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License #: Supervisor cert#:
\ Zo
Lr Phone:
Subcontractors) u Io � Plione License Number
Job Contact: THAI PHILIP_P_E 970-581-2951 ❑
I/;ZZ71
Wbrk Description: Replace
Homeowner affidavit on file.
AMP to 150 AMP service. Install
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 "' By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http:l/www.fcgov.com/CitizenAccess/mobile
Ins ections: FNE EG
TOTAL FEES PAID AS OF 03/17/17: S31.75 Payment method: Credit Card 3365,
Fee Dealt Displayed on Next Page
As a condition for the issuance of a peril, 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 peril 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 peril.
Signature:'Aj Print Name: ��� r ,fie I Date: 3 11 T /Zol7-
Forth Revised Oct 2010
�.F�o�rt Collins
Site Address: 500 TYLER ST
Job Valuation: $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 #: B1701407
Issued Full: 03/17/2017
Permit Type: Electric Service Change
Transactions
Method Check Number Date Paid
Credit Card CK # 3365 03/17/2017
Amount Paid
$31.75
Comments
Philippe Thai paid with CC 3365
Receipt issued: 03/17/2017 Total Paid to Date:
$31.75
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
City Sales/Use Tax 251.122030
$5.77
$5.77
03/17/2017
County Sales/Use Tax 100.217030
$0.98
$0.98
03/17/2017
Permit Flat Fee w/o Subs $25 1000.422010
$25.00
$25.00
03/17/2017
TOTAL FEES:
$31.75
$31.75
CT�O LA L BALANCE DUE AS OF 03/17/2017:
O IF �� Iq
O _� S
Amount Due
$0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.