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HomeMy WebLinkAbout1804 Broadview Pl - Applications/Reroof - 07/02/2013Jul. 3, 2013 4:02PM 4Bob Behrends Roofing No•3567 P. 2 Cir)iC)f P-14nriing,���;epa;tari;oa s� 28119. College Ave PA. Box Sao ^y �� Fort Collins, CO 80524 �— Phone 970-416-2740 Fax 224-613.4 O V EER-T I -COUNT R PERMITS ONLY This application is to be usazFto apply far the ;ollowing permits only (Check all ti:at apply). ❑ Air Conddonine Li ❑emoliti . (Interior• non-ist=ural.) d Electrical Alteration (not service change) 0. Gas Lighter ❑ Gas Log 12 Heating Unit .G Lawn Sprfa%'er. ❑ Mobile Home replacement Z Aoofina Q Sewer Line ❑ Photo -voltaic 0. Ventilation ❑ Water Healer Q Water Line ❑ Wced/Pellet Stove (must be EPA certrf(ed, provide make, mode[ and manufacturer). cornplete all appilcable ir4fas: motion on the zppliccticn. Ircor;plets appiieaticna will.nct he accepted. Application bate For ay1ce LE2-4ddy Job Sits! Adeffesz ongpi!a�v .. I Property CM/ner Mame . Applicant Name Address Address Contractor" Lit : Address Contractor City of Ft, CollJr> cjjj�s -1 -a , r 9a1e-c la nun, b-ls rquimJ6y 5y Valuep61 Conera';t10n {labor, mat`rlals, profit) city/state zip . Phone osa 30S-aC) Clt//Stata Zip Phone Cit~//S ate Zip Phone Are you paying taxes here & by report? [ rHere. ❑ Report Are. you paying with your tni_st account? 1 Zyes 0 Mo Is this a residential or ccmnwx-?;- project?Residential C7 Commercial if residen-tal; is It--B�Single-:1mily De—dled ❑ Condo/townhome (single family ached) ❑ Dualex . 0 M+ rffY (apartment) ❑ Garage, If ccmmercial,'Isit ❑ Bark n, Bar ❑ Church Q Hotel/motel El medlcEl o5ce 13 Office p Retail - 13 Res:hu>mat ❑ Other (e.:piain) Is this building, sal yezr` Clageor more? ❑ Yes -,VUvo If}e---, you l ynesd to con�ctHi aricFrer�=iva on If this Is for a deneiltion P—,M , what year was the budding constructed? -& Rrfar to 1975, you. w17/ new submit widh dmiS appli©ticn. Description of work :r 41f lawn spiinkler/LaciC`low pave. *rips list lic_nsed plumber. If fir t-Cme A/C, must Iist I(censed el:ct ician. Sub carttors: 1%thecr,:.gr,�ine orCdyoPRCo%lir..sl/t�nsa �� r� Electidan Yllmr Meanicsl Room °� `� other I ime�2hy acknewledce t`2t I h�ve.0 this applicat cn and state that the above information is co mpiet=_ and Cori Ecr I agr.ec tc campy girl all requirements 6:�r`t}Ed herein and di:/ crdinanc s and st-te lcyV= r:soul.3hnrg' J,uiidi( ra corstructlon.. Y 1Sr:a�rJ :la: mit is rot �+alid urst i ii rs32e a gaixi andsuea. � r o