HomeMy WebLinkAbout1616 Leesdale Ct - Permits/Electrical - 08/25/2011City®f Community Development & Neighborhood Services
a 281 N. College Ave Fort Collins, CO 8o522
,,F6rt Conti 970.221.676o 970-924.6134 -fax
Building Permit#: 131105683
Issued Full: 08/25/2011
Permit Type: Electric Service Change
Site Address: 1616 LEESDALE CT
Job Valuation: $50.00, Category: Residential
Owner: N64
FORT COLLINS, CO Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district:
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:
Fire Sprkir. Stock plan M. Stock plan options:
Contractor: DICKINSON ELECTRIC License #: ME-157 Supervisor cart M
1175 E 2ND STREET,:
LOVELAND, CO' .80537 - -; Phone: 970-669-1389
Subcontractor(s) Phone License Number
Electricals " DJCKINSON ELECTRIC r ''9I0=669.1389 _ ME-157
Job Contact: ROBERT L,PARKE2 .�L_ €
f'
Work Description. RELOCATE NEW ELECTRIC METERS AS.,PART OF TH IT-1'-0F�FORTWCOt:6kS-RQWER-PROJECT
RUNNING NEW POWER LINES UNDERGROUND. AS PER T.NE 2011 NEC ---
-SCHEDULE INSPECTIONS *** B Phone: 221-6769 *** B Web: hftp://amos.fWov.com/CitizenAccess**
InsDections FNE EG -
TOTAL FEES PAID AS OF 08/25/11: 350.00 Payment method: Trust. Account
Asa condition for the isauanoe of a permit, I hereby declare that I am the owneror owner's agent, mthormed to pedlorm the proposed workon the property described herem.
I agree to comply with all the mWirements contained herein. and City ordinances, and State laws associated with such work. I u Is gin that such permit maybe
revoked in the event that issuance was based on incorrect iMormation. ?his pert It shallbecome null and void iHhe work euthormed by auch pam t is not commenced,
suspended, abandoned or riot inspected within 180 days from the date of such permit
Signature: Print Name: aOl7 &Cbate: ` l
Form Revised Oct 2010