HomeMy WebLinkAbout1116 Constitution Ave - Permits/Electrical - 10/25/2011cor of
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Site Address: 1116 CONSTITUTION AVE
Job Valuation: $1,500.00 Category: Residential
Owner: N/A
FORT COLLINS. CO
Zoning: Front setback:
Minor Amend #:
Zoning district:
Rear setback:
Plat File #:
Community Development &r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109360
Issued Full: 10/25/2011
Permit Type: Electric Service Change
Phone:
Right setback: Left setback:
ZBA Case #:
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 #:
1175E 2ND STREET�> -
LOVELAND, C6t80537 Phone: 970-669-1389
Subcontractor(s)--------
Phone License Number
Electrical: DICKINSON ELECTRIC �970-669- 1389 ❑ ME-157
Job Contact: ROBERLL—PARKER
DO -
Work Description: RELOCATE NEW ELECTRIC METERS AS -PART OF'THE.CITY-OF FORT CO'LLINS-POWER•P.ROJECT
RUNNING NEW POWER LINES UNDERGROUND. AS PER THE 20JI-NEC'
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess **
Ins ections: FNE EG
TOTAL FEES PAID AS OF 10/25/11: $50.00 Payment method: Trust Account
As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's 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 incorect 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 permd.
Signature: G�"CJ Print Name: jj PO4t4ate: l
Form Revised Oct 2010