HomeMy WebLinkAbout221 Lyfka St - Applications/Reroof - 10/03/2011Oct. 3' 2.011 3:I3PM Bob B e h r e n d s P,00fiog
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281 N, Ccife,e Ave F.G. Eo,c 530
For, Collins, CO 80524
Phcne 970-416-2740 Fa,, 224-61
O J -T ECOUNTER PERMITS ONLY
This zrpIicaticn is to Ira usazFtc appIy for the foil owl mg permits on!y (ci,eck all that apply;. ❑ Air .CGndroring
❑ Demelition.(imercr.nen st,- rural) 111 Elect ical F•.Iteration (not seriics change) G Gas Lighter ❑ Gas Lcg
C1 Heating Unit G Lawn SvrirEer n Mobiie Home rt rlaccment 1 Roofing ❑ Sewer Line ❑ Fhcto-veltaic
ClVertilatien ❑ Water Heater Cr Ylziar Line ❑ N/ced/Pellet Stove (must be EF?. certified, provide mF-�2, model and
manufacturer). :
Complete all applicabie i;d=aticm en the aprliccticn. Incompleta appilcations wM.r.Et be acccrtsd. .
APP1icaton. L�l l o%Cb� Dais 10\3\��
Is t'iis a residential er comrnett-projew? Res;dential ❑ Cons merd21
If res!dentiali is Detched Ln Corde/tolrmhcme (sing!e family atached) •❑ Duplex.
❑ Mdr-r-atal i (apartrnent) ❑ Carge
If commerdal,�ls•it ❑ EaPk 13Eac ❑ Church ❑ Hotel/Nictel ❑ Medical ofnce ❑ oftic5 C7 Rewll .
0 Racuurmt ❑ other (explain)
is this building. B.O. years cfage or mere? ❑ Yes o Ifyr;; you may reef to cc�t_ tHisAcarlcFreserv.ton
If this is for a demclit or. -q,,er=7, rihat year ores the building constricted?
751�r11` G7S dp�/%�iG?=p1-oc tO 1975, YOU Wi//nE� a,�c�a55rTiu?t 11Y %n
Description of work =-yc aFCr \ \
' If lawn _sprrld?r/t2ce.o§Y Frzvs ` .,, mUsz lip lir_arsed plu�bi er. If FM-wme A/C, nuC ll 1lcerL2d eiec:G!c!ar.
::�:arcnn�. ackcr: L%st Gee c�f�F-��inair;2 cr Gt/ c�RCcllln_ /ica�Uz ,�
Elect ider. r u ;r� MU-hadal Rxf2r
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I here✓"/ adQ1owil-dC.LM th2t thi5 appl.'cudcr, and stm t:"2t tic 2Cc` e irfor:l2dcr, IS car'Ipiel= and correc . is 291-Z=- t-C
ccmply vjit-r •?!l.rz'gdr2ment_ `=✓rF.ari1 ham• !:l zfid city crdimlanczi, rd s.:�,`,e 121a;= ra-L,12tma bi:Rdii�.c cost,�dicn..: 3.::'•cL'1 12:
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