HomeMy WebLinkAbout123 N College Ave - Permits/Electrical - 08/23/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 123 N COLLEGE AVE 220
PERMIT TYPE
ELEC Electrical Alteration
Last Name, First, Middle Initial
� OPERA GALLERIA
Uj
Address City/State
3 123 N COLLEGE AVE FORT
0 Zip 80521 Phone No.
Z_ Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zonir
_ Subdivision/PUD Filing
Q
wLot Block Lot Area ParCE
J 0
9' Company Name I Contractor License No.
Address I City/State
Electrical
BUILDING PERMIT PERMIT FEES
Building Valuation
B040I ACCOUNT FEE DATE PAID
PERMIT DATE
08/23 2004 Building Permit W/o Subs $53.00 8/23/04
.EVEL CATEGORY TYPE
ISSU_FUL Non Res Bldg Const
Construction Type Occupancy Group
LU
in No. of Stories Building Height
0
Building Square Footage I Stock Plan/Options
Ce
Mechanical
License No.
O
H
Roofing
License No.
Z
Framing
License No.
U
m
Plumbing
License No.
(n
Concrete
License No.
ADD 4 NEW CIRCUITS, REPLACE EXISTING DEVICES PER 2002 NEC
(See reverse side for Inspection Description)
FNE RE EC
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
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
A/4: % � OCAS%
Print name of owner/agent Signature Date
TOTAL FEES