HomeMy WebLinkAbout514 Ponderosa Dr - Permits/Electrical - 06/08/2009City of Neighborhood & Building Services
`r 281 N. College Ave. Fort Collins, CO 80522-o58o
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Collins Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0903037
Issued Full: 06/08/2009
Permit Type: Electric Service Change
Site Address: 514 PONDEROSA DR
Job Valuation: $800.00 Category: Residential
Owner: QWEST
3351 EASTBROOK DR
FORT COLLINS, CO 80525 Phone: 377-6406
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: LMN Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: 0 Com sq ft: Ind sq ft: Basement sq ft:
# of stories- Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: TRI-CITY ELECTRIC II License #: ME-344 Supervisor cert M
813 EAST 18TH STREET #6
GREELEY, CO 80631 Phone: 970-352-5731
Subcontractor(s)- Phone License Number
Electrical: TRI=CITY ELECTRIC II -970-352-5731 ME-344
Job Contact: ROBERT-H-WAGNER 970-352-5731 -
Work Description: INSTALL 100 AMP ELECTRIC SERVICEFOR NEW-QWEST PHONE CABINET EQUIPMENT
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: FNE EG
TOTAL FEES PAID AS OF 06/08/09 $15.00 Payment method: Check 20909
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 properly 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:
Form Revised Oct 2008
Date: