HomeMy WebLinkAbout1313 Green St - Permits/Electrical - 03/21/2006Community Planning & Environmental Services PERMIT -F'
Building & Inspections Division BUILDING P E RM I T
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
cit,r of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0601 1 15
ACCOUNT
JOB SITE ADDRESS 1313 GREENST I
PERMIT DATE 03/21/2005 Building Permit w/o Sub
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ELEC Electrical Alteration ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
EGELAND. MARK EDWARD
Address City/State p No. of Stories Building Height
1313 GREEN ST FORT COLLINS, CO O
O Zip 80524-4204 1 221-9134 n Phone No. V Building Square Footage Stock Plan/Options
O
Z Right Side Setback Left Side Setback
Z
1 Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
Lot Block Lot Area Parcel No.
9713408071
95 COmpanV Name I Contractor License No.
City/State
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
tc ELECTRIC
ME 985
Mechanical
License No.
CRoofing
License No.
Framing
License No.
O
V
(See reverse side for Inspection Descripti
FME RE EO
m Plumbing License No.
1�
Concrete License No.
REMOVE OLD PANEL AND REPLACE WITH SAME SIZE MAIN AND NEW BREAKERS.
8
$17.�G 3/21/01
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete information. This permit shall become void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of it or from a date of the last inspection.
rint name of owner/agent re Date TOTAL $17-1,0