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HomeMy WebLinkAbout612 W MAGNOLIA ST - PERMITS - 7/16/2018City of Community Development & Neighborhood Services F6rt Collins 28iN.College Ave Fort Collins, COSo522 970.221.676o 97o.224.6134 -fax Building Permit #: B1805576 Issued Full: 07/16/2018 Site Address: 612 W MAGNOLIA ST Job Valuation: $1,100.00 Category: Residential Owner: TOTH LOREN THOMAS 3311 W 31STAVE DENVER, CO 80211-3619 Permit Type:. Residential Electrical 1U1TTii_W11R1K^-9MK:W Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: 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: ABETTER ELECTRICIAN . 330 DERRY DR FORT COLLINS, CO 80525 Subcontractors) Electrical: A BETTER ELECTRICIAN V Work Description: Replace old 100'AMP service with a new.squa Filing #: Lot #: Block #: Ind sq ft: _ Const Type: _ Stock plan options: License #: ME-1470 Phone: 970-214-5284 Basement sq ft: Supervisor cart #: License Number ❑ ME-1 7 ---- T[j 00 II SCHEDULE INSPECTIONS: Mobile Device: 70-221-6769 gov.com/Ctit ien hftp://www.fcgov.com/CitizenAccess w.fcgov.com/CitizenAccess bile II ([Possible Inspections Required: 201 206 301 103 302 300 �I TOTAL FEES PAID AS OF 07/16/18: $65.71 Payment method: Credit Card 0466 Fee Detail Displayed on Next Page As a condition for the issuance of a permit, 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 assodated with such work. I understand that such permit may be revoked in the event that issuance was based on incorrect informabon. 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: 41Lj s N,,, K Date: 0 7 - Form Revised Oct 2010 City of Community Development & Neighborhood Services F6rt Collins 281N.College Ave Fort Collins, CO8o522 970.221.676o 970.224.6134-fax Building Permit #: B1805576 Issued Full: 07/16/2018 Permit Type: Residential Electrical Site Address: 612 W MAGNOLIA ST Job Valuation: $1,100.00 Category: Residential Transactions Credit Card CK # 0465 07/16/2018 $65.71 Receipt issued: 07/16/2018 Total Paid to Date: $65.71 Fee Description Account Code Fee Amount Building Permit Fee Without 1000.422010 $41.50 Subs City Sales/Use Tax 251.122030 $21.18 County Sales/Use Tax 100.217030 $3.03 Amount Paid Date Paid Amount Due $41.50 07/16/2018 $0.00 TOTAL FEES: $65.71 -�> TOTAL BALAN $21.18 07/16/2018 $3.03 07/16/2018 $66.71 $0.00 $0.00 $0.00 CE DUE AS OF 07/16/2018: 0.00 Cc %�_ Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010