HomeMy WebLinkAbout521 Galaxy Ct - Applications/Electrical - 09/21/2020i
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Community Development and Neighborhood Services
281 N College 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address
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Address
Property Owner Information
Name Ch�lS� AA ar t
Address Sal 4�ja-y-S° C-
Application # T31,0 1 d / 0
Date Received I • Vs z6zo
City/State/Zip P-4)11105, Q S'OSZS
Phone Number % -70-4oW— 59�S
City/State/Zip !ram-1-4)1Z at5 , 6D sd5 ZS
Q Single Family Detached Q Townhome (attached) Q Duplex 0Apartment/Condo Garage/Other
O Bank O Bar O Church O Hotel/Motel O Medical Office O Office O Retail O Restaurant
Value of Work
Labor and Materials $ 7, 077a
Scope of Work
O Panel change out O Meter change out O Upgrade existing wiring
O Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
Other electrical alterations / 6U r
Service Upgrade 0Yes &No
Existing Amps
New Amps_
Additional Information
(if applicable)
Electrical Contractor Information
Name And i? eta 14)1,/)/c
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Address (? City/State/Zip %�•�mLGlc/75 80SZS
Phone Number 3073L1359y1 Email Kl�canos�cthnatC+�D'�I[cz[y. L'dm
License Number ME- 7I Y V , 6 �ZnO 67