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HomeMy WebLinkAbout7575.5 W 44th AvenueFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Friday, January 28, 2022 9:11:16 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Commercial Commercial? Property Address 7575.513 West 44Th. Ave. Property Owner Name Scott Kallase/ Concrete Works of Colorado Inc. Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 303-419-5428 CONTRACTOR INFORMATION Contractor Business Sturgeon Electric Name Contractor's License 018567 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-591-5317 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email JApplegate@myrgroup.com Address Retype Contractor JApplegate@myrgroup.com Email Address DESCRIPTION OF WORK Is this an electrical change service upgrade or change? Number of Amps 100 Location of work N.E. corner of Wadsworth Blvd. and W. 44Th. Ave (garage, house, etc) Provide additional 120/240 V Metered Service/ Lighting control center for street details, If needed. lights and decorative pedestrian lighting Project Value (contract 3000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Rick Aspden Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Friday, January 28, 2022 9:03:16 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Commercial Commercial? Property Address 7575.5C West 44Th. Av. Property Owner Name Scott Kallase/ Concrete Works of Colorado Inc. Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 303-419-5428 CONTRACTOR INFORMATION Contractor Business Sturgeon Electric Name Contractor's License 018567 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-591-5317 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email JApplegate@myrgroup.com Address Retype Contractor JApplegate@myrgroup.com Email Address Is this an electrical Change service upgrade or change? Number of Amps 100 Location of work N.E. corner of Wadsworth Blvd. and W. 44Th. Ave (garage, house, etc) Provide additional 120/240 V, 100A Metered Service for CDOT Traffic Signal. details, If needed. Service is 1 of 5 associated with City of Wheat Ridge Wadsworth Widening Project Project Value (contract 3000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Rick Aspden Pe rm it Email not displaying correctly? View it in your browser.