HomeMy WebLinkAbout7102 Avondale Rd - Applications/Reroof - 09/30/2011From Affordable Roofing Inc 1.970.207.0289 Fri Sep 30 12:34:21 2011 MST Page 1 of I
C
plauning, DevWopmUnt & TvanqMlatiO111
Z81N.Cc§eqeA0 PA. BUX3W
Fort Collins: 00 8115'Z4
Phone 970:415-2740 Fqx 2246134
OVER.THE.CwNTER PERmrrS ONLY
Z3 Ak Condifi*Alng
oltowing per nZs only (Check all that aPPIY)-
,Thj5 applia.Mun ts to be used to apply for the f piterabon (notservice change) ccaazuqhw 0C-wLoq
,I DgimolitKur, (Interior AOn-G-Fu�r;* 0 El&--ecs' 0 Sewer L:ne 0 Photo-voltek
13 jimffing Unit 0 Laym SPTWder 0 WJ)Wle Home repL-cemem 0 Roofing N- make, model and
[3 Wood/pdet Mve (must be EPA mOed, Pfu tde
Q Ventlilffiw 0 Water Heater 0 WatDC Line
- Manufacturell. fion. Incomplete appliCati" Will not be 2=09(1-
COMPM all aMllia9ble information on the aplieg
plicaticn 0 Date
valuo or Cuiosvue-lon, o0or, mana
3ob We Addirlm (I
0 1- z� Phone to
,property Owner Name Addr=
illtL4-
Plsorrz
:AppAddress ctytwv�- ZipL2kantNem 2 '5D 52 -5 2()l
�j a8� LDLI aty/stareZip Prrone
Contmct& Addm-M
orwrepart?p3jere OlkePrr
Contrec-,or Mf of FL CDkins S�.-WLTjw AM YOU P3YXC to here E�LYe3 0 NO
Are ,Iou paying %WM your trust account?
OF a w C=" Mw
Is lids a residerflial or coauneraal PrOlea?
f residential, is it: t-M FVNVDCmded 0 '0'
8MAY (BV 0 Garage
If tenunei+dal, is it 0 Bank 0 83r
0 Restaurant 13 other o,Vo—rf to 4onfa& MP&Y,'r Ale-vertova)
r-, this bUlldng SO ym" f age or more? 0 YC.
jt� what ywr tKe building COnstri'Lted?
v this is for a dernaftiOn PeT*d CO somt ndift dim dpffimw&
yoL, why need an a7beS05 MwswWt
mudlist 1=ftsed OUT, 'a lawn sps�
51yb actors: LbCdL- "'Paww ar ay of c t r, a r
_dge that I have nod Mis OPPOli0" and
hereby MRBCWI. -.n and my ord!
ra .vWrad heo
0vn* with requirmw
p.&mlt is Imt var#d Ur" it "BF been Vold and
rApplicont.
P&W
$a aw,jp inwmiatrou is corrClleleI know US= 3
gam law:mgtdafinq bt:l1dinQ