HomeMy WebLinkAboutRe_ FW_ Online Form Submittal_ PERMIT APPLICATION Electrical Service Change_Upgrade_Electrical Work_Page_4Is this Residential or Residential
Commercial?
Property Address 2938 benton st
Property Owner Name Michael Schoenderg
Property Owner Phone 303-594-8666
Number (enter WITH
dashes, eg303-123-456'7)
Attach City of Wheat HPSCAN 2022061621355167 2022-06-16 213639265 (1).ndf
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
CONTRACTOR INFORMATION
Contractor Business Good Electric
Name
Contractor's License 018654
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-667-7984
Number (enter WITH
dashes, eg303-123-456'7)
Contractor Email Address Goodelectric(o)comcast.net
Retype Contractor Email Goodelectric(2comcast_net
Address
DESCRIPTION OF WORK
Is this an electrical Change
service upgrade or
change?
Number of Amps 200
Location of work (garage, house
house, etc)
Provide additional details, n/a
if needed.
Project Value (contract 6000.00