HomeMy WebLinkAbout3500 Carlton Ave - Applications/Gas - Log, Line, Pipe - 11/26/2012�. NOV: 26-2012(P10N) 17:50
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Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970.416-2710 Fax 22+6134
OVER-THE-COUNTER PERMITS ONLY
This application Is to ba used to apply for the following permits only (chock all that apply), on
Demolition (interior non-structural)Electrical Alteration (not service change) Gas Lighter F
Lo
Heating Unit Lawn Sprinkler Mobile Home replacement Roofing Sewer Line Pho talc Ventlladon Water Heater Water Line WoodlPellet Stove (must be EPA certified, provide makemodel and
manufacturer). ,
Complete all applicable Information on the application. Incomplete applications wt I t b
noa accepted.
Application * D 1 JLJ Iv;1 Date — �
ror office use an/y c - �T -
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