HomeMy WebLinkAbout1989 E Prospect Rd - Permits/Electrical - 08/11/2006Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins
phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE
Fl Fr
Elactrical Alteration
PER
Last Name, First, Middle Initial
w
Address
City/State
3
Zip
Phone No.
Front Setback
Rear Setback
0
_Z
Z
Right Side Setback
Left Side Setback
QPlat
File No.
ZBA Case Number
Zoning District
ILu J
Phone
w mecnarm
O
Roofing
H
Z Framing
O
8
m Plumbing
N
Concrete
Filing
Block Lot Area Parcel No.
Contractor License No.
City/State `
i
upervisor Cart. No.
License No.
License No.
License No.
License No.
License No.
License No.
BUILDING PERMIT1:114i"11111112-
Building Valuation
B060$1 ACCOUNT FEE DATE PAID
PERMIT DATE
' 120105 1 Buiiding Permit w/o Sub $50. io 8/II/0
EVEL CATEGORY TYPE
Non Res Blda Con t
Construction Type Occupancy Grc
ONo. of Stories Building Height
V Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
FNE RE E11
u
PROVIDE ELECTRIC SERVICE AS PER 2005 NEC (OFF OF EXISTING TRANSFORMER) FOR SUBMERSIBLE
PUMP TO BE INSTALLED IN STEEL WATER WELL FOR CITY OF FORT COLLINS SUB STATION IRRIGATION
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 null and void if the work authorized by such permit is not
co enced, suspended, abandoned or inspected within 180 days f the date such permit or from the date of the last inspection.
4
ups .
TOTAL FEES
Print name of owner/agent Signature Date