HomeMy WebLinkAbout4965 HOGAN DR - PERMITS - 12/6/2016F`o�r.'t Collins
Site Address: 4965 HOGAN DR
Job Valuation: $1,500.00 Category: Residential Remodel
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607252
Issued Full: 12/06/2016
Permit Type: Electric Service Change
Owner: MORRIS SEAN D/LAURIE R
4965 HOGAN DR
FORT COLLINS, CO 80525 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD:
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: PROLECTRIC INC
54 RISTVIEW RD j- �.
BELLVUE, CO 80512
Subcontractor(s) ;"/ ---
Electrical: PROLECTRIC INC
Job Contact: LLOUIS M-MERCURIO 1
Work Description: Electric service change from existing 150.ari
to
License #: ME-444 Supervisor cart #:
Phone: 970-222-4740
License Number
❑ �ME-444�
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile 11
FNE EG
TOTAL FEES PAID AS OF 12/06/16: $58.75 Payment method: Check 9355
" 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 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:
Print Name:
Date:
Form Revised Oct 2010
F6rtCollins
Site Address: 4965 HOGAN DR
Job Valuation: $1,500.00 Category: Residential Remodel
Transactions
Check CK#9355 12/05/2016 $58.75
Receipt issued: 12/06/2016 Total Paid to Date: $58.75
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $28.88
County Sales/Use Tax 100.217030 $4.87
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1607252 .
Issued Full: 12/06/2016
Permit Type: Electric Service Change
Comments
PROLECTRIC, INC. paid with check 9355
Amount Paid
Date Paid
Amount Due
$28.88
12/05/2016
$0.00
$4.87
12/05/2016
$0.00
$25.00
12/05/2016
$0.00
TOTAL FEES: $68.75 $58.75 $0.00
TOTAL BALANCE DUE AS OF 12/06/2016: 0. 00
O O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.