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HomeMy WebLinkAbout507 Cowan St - Applications/Reroof - 04/04/201304/01/2013 11:29 9704612547 City �f. 011i11S ATLAS PAGE 01/01 Planning, Dwek* me nt & Transporbtiion 281 N. College Ave P.O. Box 580 Fort Colllns, CD 80524 Phone 970-415-2740 Fax 224-6134 OVER-THEaCOUNTER PERMITS ONLY This applicaMn is to be Used to apply for the following permlts only (check all that apply). ❑ AN Condiki ing ❑ Damortlich Interior noel) 0Electrical Alteration (not ee ce change) ❑ Gas Lighter 17 Gas L.og� b Heating Unit CI lawn Sprinkler ❑ Mobile Home replacement Pooling ❑ Sewer Line El Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line 17 Wood/Pellet Stove (must be EPA certified, provide make, mad at and manufacturer). Complete all applicable Information on the application. Incomplete applications will notbe accepted. Application # ?) R) 0 � y Data Fvrofilm use only LH lob SIEe Address Nqu&aO Value of Co on (labor, materials, profit ilk - 1 - lb Property Owner Name Address Gt}+/Stabs Zip Phone + �a SDSay 5t I -G7 Applicant Name Address City/State Zip Phonl Contractor CU/ate - zjfp honGyQ 7 77 AAddress �, r 1 w i.1.1� V: Contractor Gty of Ft. ;Collins Tax it 1410-5-6 are you paying taxe by report? 0 Here ❑ rt SblwmrflumbierLsrn7U�X.daYah'aV*A-WM Are you paying with !u t1ust account? ❑ Yes ❑ Ls this a residential or oommsrial project? Vl&dentlal ❑ Commercial If resfdentiaf, is it: b Single Family Detayhed ❑ Condo/tpwnhome (single fc mfly[c ached) ❑ Duplex 0 MuWamiily (apadnient) 0 Garage h I If commerdaf, is H-- ❑ Bank ❑Ear © Church ❑ Hotel/Motel ❑ Medical °ice IJ Office ❑ Retail f3 Restaurant ❑ Other (explain) I II is this building 50 years of age or rnpre? 13 Yes FINo Zfyesr youmay fn witbdHLjvricPresiervaft? If this is for a demolition permit, what year was the building construftd? Dwpr/orto 1975, you st97/ need an asbesina moment to suborn w* tB/s eppl/caP* r i Description of work *If laitim sprinkler/bacJdlow preverder, must list licensed plumber. If r"me A/C, Subconb'actprS. (bit emmpanynsmeorWarRCallins/lanwt 9ettridao Plumber Medmnk2j I hereby adatMWM that L have read this application and state that the above h comply with all requrenients contained herein and city ordinances an� state laws permit is not valid und7 It has been paid and issued. AppGCaC 'J � �� Signature Priirtt IWame: complete and mmect I hD u�ng oor>�tion. I know