HomeMy WebLinkAbout1213 Peterson St - Permits/Electrical - 10/14/2009Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0906408
Issued Full: 10/14/2009
Permit Type: Electric Service Change
Site Address: 1213 PETERSON ST
Job Valuation: $800.00 Category: WTS/Telecommunications
Owner: EIDSNESS, FREDERIC A REV LIVING TRUST
337 EDWARDS ST
FORT COLLINS, CO 80524 Phone: 970-377-6406
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: NCM Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PLID:
Code: Res sq ft: 0 Com sq ft: _
# of stories: Occ Group: _
Stock plan #:
Contractor: TRI-CITY ELECTRIC II
813 EAST 18TH STREET #6
GREELEY, CO 80631
Subcontractor(s)-
Electrical: - TRI -CITY ELECTRIC II
Job Contact: ROBERT H WAGNER
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: ME-344
Phone: 970-352-5731
Supervisor cert #:
License Number
Work Description: INSTALL 100 AMP ELECTRIC SERVICE TO QWEST PHONE CABINET -
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
ispections: FNE EG
TOTAL FEES PAID AS OF 10/14/09 $15.00 Payment method: Check 21240
Asa 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 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: I,4 `'I. u her -Date: l D,//19
Form Revised Oct 2008