HomeMy WebLinkAbout2190 W Drake Rd - Permits/Electrical - 08/15/2005Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 4 5 2 6
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 2190 W DRAKE RD PERMIT DATE
0lif -i Jj v'05
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ELEC Electrical Alteration ISSU_FUL Non Res Bldg Const
Last Name, First, Middle Initial Construction Type Occupancy Group
DTH WLG LLC
Z Address City/State Wp No. of Stories Building Height
3 300 WILMOT RD DEERFIELD, IL O
Q Zip Phone No. Building Square Footage I Stock Plan/Options
60015 1 „
_Z Right Side Setback
Z
2 Plat File No. ZBA Case Number
Setback
District
3
J
Q
wLot 3 Block Lot Area 0 Parcel No.
914144COD3
Phone
Electrical
ing mecnamc
O
Roofing
H
Z Framing
O
U
m Plumbing
to
Concrete
8
I —
City/State
License No.
License No.
License No.
License No.
License No.
(See reverse side for Inspection Description)
`Nr IrI EC
ADD 1 SINGLE PHASE 100 AMP CIRCUIT FOR NEW BEVERAGE CENTER AND 1 INSTA HOT PER 2005 NEC
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.
P int name of owner/agent S nature Date
3TAl 11E1 1