HomeMy WebLinkAbout1212 Constitution Ave - Permits/Electrical - 10/17/2011of
Frt` Collins
Site Address: 1212 CONSTITUTION AVE
Job Valuation: $1,500.00 Category: Residential Remodel
Owner: VARIOUS
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131109078
Issued Full: 10/17/2011
Permit Type: Electric Service Change
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 Sprklr: Stock plan #: Stock plan options:
Contractor: DICKINSON ELECTRIC License #: ME-157 Supervisor cert#:
1175 E 2ND STREET
LOVELAND, CO 80537 Phone: 970-669-1389
Subcontractor(s) Phone License Number
Electrical: _. DICKINSON ELECTRIC 970 669-1389 ME-157
Job Contact: ROBERT L PARKER
Work Description: RELOCATE NEW ELECTRIC METERS AS PART OF THE CITY OF FORT COLLINS-POWER,PROJECT
RUNNING NEW POWER LINES UNDERGROUND. AS PER THE 2011 NEC.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess "
Inspections: FNE EG
TOTAL FEES PAID AS OF 10/17/11: $50.00 Payment method: Check 7172
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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.
I
Signature: 1 Print Name: 6 Date: v _/
Form Revised Oct 2010