HomeMy WebLinkAbout2605 Mathews St - Permits/Electrical - 12/23/2011F6rtCollins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 _ -fax
j Building Permit #: B1111382
Issued Full: 12/23/2011
Permit Type: Electric Service Change
Site Address: 2605 MATHEWS ST
Job Valuation: $400.00 Category: Residential Remodel
Owner: N/A
FORT COLLINS, CO
Zoning: Front setback: Rear setback:
Minor Amend #: Plat File #:
Zoning district:
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: CITY OF FORT COLLINS License #: ME-1249 Supervisor cert #:
PO BOX 580
FORT COLLINS, CO 80522 Phone: 566-7046
Subcontractor(s) ______ Phone
Electrical __CI.T_Y__OF FORT COLLINS �566-704
Job Contact: BRYAN GARRETT C
1 �
Work Descriotion: RELOCATE NEW ELECTRIC METERS AS -PART OF TH
RUNNING NEW POWER LINES UNDERGROUND. AS PER,2011 NEC. _.
License Number
6 ME-1249
-OF-FORT
ECT
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess I
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNE EG
TOTAL FEES PAID AS OF 12/23/11: $50.00 Payment method: Internal Transfer
15200000.533999.3690.15202395C
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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.
Signature: n Print Name: L 2---, Date:
Ci
Form Revised Oct 2010