HomeMy WebLinkAbout3131 San Luis St - Applications/Reroof - 10/05/2011281 � Ave
P.O.
Fork COO a) SM4
Phone 970-41&2740 Fax 224-6 M
ONLY
' I
This application IS to be used to apply tor, the iolloatring penuft a* (cheek anew apply). � Air oning t7 Demoirdw onbettor non.strugaral) p E ►�-cW A (w change) IO I-aB
[] Heating lbnR 'O Lawn 3ptFnlder 0 MdAs Ham replamnant Recfine E3 Sewer Line 0
❑ Ventilation O Weber Heater a Water line a WoodlpeNei glue• (must be EPA certMed, provI4
mae ftmjner).
Complete ail appUabN on the apply Inewoft appkadons VAN not be ' tAA
APPUGMdon# �J110$ o3W
A.alkeLMa*
]ob Saba addran ( w&ev value of co nslrud cal per, Prom
313( Sam LL,,,s 517
PM
V 0 � ZIPi Phone 9
Applicant Warne J9 3
Addn�ess SIN/stabs zp . Phone
Contractor Aeeres3 Cit�r/stabe Zip Phone So
o rKim o _s
AACI
CO o era
Conb'w" City of FL Colons Tex Are You Paying twoes here or by na m V p R
Add 4rugr�plt
NryAIr
bye/ Are you paying w+th your bust amount? LO Yes G�'Np
Is tuts a residential or commerda l project? Pf Rat 13 CbmmerdW
If reddwft is lk O Single Fsn* Detached O Cw;d�rng (dam f * attadrert) p
O gamily (apaftw*) 13 Garage
If commerdal, Is It 0 Bank 0 Bar 0 Church G HoCeyMotd 0 Medici office 17 ofike G Relarl
O Restaurant O claw ( � f
Is this buU gag 8o ymm of alle or =M? G Yes UNo D°yeS ytsu rraaYneElo►to mmA A9tforrt; ttts Phr�rsrti i
If W for a demallism p w ak what yen was the bui ft onbuftn
D°picr to 1973, )aav m0rswofan edbestas art AP 3ub,& MM Mh anasmaw .
Of
w � �
"If Iswn SPIMer/beciftm preuenter, must itst lioerased plumber. If ft3t4Mw AIC, must ost bbansad dedrkkae
ftbWRUscs4ra: LLsithecavr{taAFYMleorMyofRLhMaR�r,e
I hereby adeaawk pn that I him read stab BMIc tlom and abM that the *we hdbrmdion is complete I agt�ee 1a
LPN with an rawA emuft aadainad heein and czy ondsranoea and g a bw rewAaft trnorrg I larew at m e
twat d sot VWM WW tZ has lIws n paid and hued.
AppkMt
PrhR Itbrar