HomeMy WebLinkAbout608 Prichett Ct - Applications/Reroof - 09/25/2011From Affordable Roofing Inc 1.970.207.0289 Sun Sep 25 15:22:07 2011 MST Page 1 of I
Developillne snt&Transpostwan
City of 281 N. Cdlege Ave P.D. Box 580
for[ Cans, CO M4
V'31 Phone 990-416-2740 F-Z(224-6134
OVER-THE-COUNTER PERMITS ONLY
permits only (creak all Owl qpply)• G Air00ndlilllnifll]
.This apWjCWjcn is to be used to apply for tkQ ftl�kg
C3 Demod-Won (interior nckn-str Jl) 0 Electrical AlteraLlon (not mrwnca chajoV) 0 Gas I-Orlef 0 Gas Log
0 HL-avng UnIf 0 L. vn sprilroder Cl Mobile Home replacement 0 pmfing 0 Sower line 13 Phctc-woftc
0 Ventlafion 13 Water Heater 0 VVaWr Line 0 Vbod1petial Slme (must W EPA olpaified, proiiiidla make. model and
.
m3nufactureo, incomplete applications Uill not be 3=809d-
CampleW all appltr&blv izftffnJfi0n 00 the aPPECOMM
Application 4 DasC2-- Data
Fvr ot,%v use vnAr
vat" of C'ns"Chlon (trbor. nvia�15� prom)
Property -3ob Sift Address (equIlred)
Owner Name Address QtyjStare ztP Phone
Ar 'L�16rlszil:i Phom
AppliCant Name Addr-ess QViiStZl i - V525 JQ,
Address rky/stge
--- reporL7 paiwe
t. calms Sal Are Are paying ta�es tme or by 0 Report
Contractor City of F Are ycii� paying w* YOw mist account? .-4k-Xes E3 No
is this a r1e,,4dWW1 tr COmMINdal P"'JwV' N91lesideraial 0 COmmezdal
El Ciondoftainhame (single family attached) DuPku
�IfresldtnbEd,islt 'P&OeFvTrdlynieta�
U muftmay (apart mo it) 13 Garage I office E3 ofte
:If commercial, is tr.0 sank 0 Bar 0 ChUfch 13 H0121,040M' C' r"edlca
Ll ReStua3nt 0 otrmr (eVan) ry�IpmMaciKstrvcRcsw on
Js=owhdlnq5*yews 0Fago ormc"e? oy-s �No
perimit, what year �s Me bandingCXISMIC-tild?
is-,cr illemallum I
Yonoir to i-Y75, yw m& fxvdoll a5baNW57 assiewvlt fo Submir Wjd
Venlff, most RA licensed PkIlmoer- IT 'M-*m NC' mlo'[sr BMMW de=0Br1-
L-Vy of Fit Cow7s Ansaw co
SubcontrelobilM List WO aWlWany
2tdu r,; f � 5 1 Oftr
Plumber. r4edvid�L-
E b,erebir adcomeledge die I have read twa appticiitiaa and
comply With all naliftmMU: ainlatnen nerela and W 0011
Permit is 00C,8114 Unla it has been paid and ISSM111-
�.Appfk2nt:
print Nam
we jMVrt:t= N COW, Jete and conect r aWte to
law, regulating bdddbV 01111sbv`VjDn• I kmw emt a
6