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HomeMy WebLinkAbout4960 HOGAN DR - PERMITS - 6/7/2013Fo�r'fCollins Site Address: 4960 HOGAN DR Job Valuation: $1,800.00 Category: Residential Remodel Owner: CULLEY LEOLA M 4960 HOGAN DR FORT COLLINS, CO 80525-3710 Zoning: Front setback: Rear setback: 281 N. College Ave Fort Collins, CO 8o522 97o.221.676o 970.224.6134 -fax Building Permit #: B1302761 Issued Full: 06/07/2013 Permit Type: Electric Service Change Phone:970-222-2575 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case M Zoning district: UE - URBAN ESTATE DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: 0 Com sq ft: _ # of stories: Occ Group: _ Fire Sprklr: Stock plan #: _ Contractor: GREGORY ELECTRIC 3317 N. LINCOLN AVE LOVELAND, CO 80538 Subcontractor(s) Electrical: GREGORY ELECTRIC Job Contact: JAMES JOHNSON Work Description: Upgrade existing electrical service from 1 Filing* Lot #: Block #: Ind sq ft: _ Const Type: Stock plan options: License #: ME-404 Phone: 970-669-7609 Basement sq ft: Supervisor cert#: 7609 (0 �� �'� �J replace existing panel in License Number ME-404 SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: hftp://amos.fcgov.com/CitizenAccess ***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/ Inspections: FNE EG TOTAL FEES PAID AS OF 06/07/13: $65.05 Payment method: Check 2166 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 maybe 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 riot inspected within 180 days from the date of such permit. Signature Print Name:-i1-,a U Date: t` ,1-713 Form Revised Oct2010 �fColltns Site Address: 4960 HOGAN DR Job Valuation: $1,800.00 Category: Residential Remodel Transactions Method Check Number Date Paid Check CK # 2166 06/07/2013 Receipt issued: 06/07/2013 Total Paid to Date: Fee Description Account Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee w/o Subs $25 1000.422010 Amount Paid $65.05 $65.05 281 N. College Ave Fort Collins, CO 8o522 97o.221.676o 990.224.6134 -fax Building Permit#: B1302761 Issued Full: 06/07/2013 Permit Type: Electric Service Change Comments Gregory Electric ck# 2166 Fee Amount Amount Paid $34.65 $34.65 $5.40 $5.40 $25.00 $25.00 Date Paid Amount Due 06/07/2013 $0.00 06/07/2013 $0.00 06/07/2013 $0.00 TOTAL FEES: $65.05 $65.05 $0.00 TOTAL BALANCE DUE AS OF 06/07/2013: 0.00 O O Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010