HomeMy WebLinkAbout6110 S TIMBERLINE RD - PERMITS - 9/6/2002Community Planning & Environmental Services PERMIT
Building &Inspections Division
BUILDING PERMIT
- P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 60,00
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-613460205238 ACCOUNT FEE DATE. PAID
JOB SITE ADDRESS silo S TIMBERUNE RD PERMIT DATE 09/06/2002 Building Permit K $15. 08/19/02
PERMIT TYPE Y TY
ELESER Electrical Service Change PERMIT LEVEL ISSU CATEG FUL HOI bTELEGRAPH SYS
Last Name, First, Middle Initial Construction Type Occupancy Group
L
U w No. of Stories Building Height
Z Address City/State 0 0
3 12680 WCR 58 GREELEY. CO o
O Zip Phone No. Building Square Footage Stock Plan/Options
80W4 686-OWS 0
Front Setback Rear Setback
Z Right Side Setback Left Side Setback
Z •
� Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing na EG
J
Q
wLot Block Lot Area O Parcel No.
J
Name Contractor
City/State
Phone supervisor uerc. rvo.
O
V
Electrical License No.
TRI—CITY ELECTRIC II Dim-344
W Mechanical License No-
0
Roofing License No.
F—
OFraming License No.
m Plumbing License No.
n
V)
Concrete License No.
INSTALL NEW 100 AMP ELECTRIC SERVICE TO REMOTE PHONE CABINET FOR OWEST (METERED) PER
2002 NEC.
1
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
mmenced,ssuspended, abandoned or inspected within 180 from th date of ch permit or from the date of the last inspection. /
Wogle ( "' DZe / 6 v TOTAL FEES S
Print name of ownedagent Signature Date