HomeMy WebLinkAbout1209 Gaelic Pl - Applications/Reroof - 08/05/2013From Affordable Roofing Inc 1.970.207.0289 Tue Aug 6 11:40.13 2013 MST Page 2 of 2
Planning, 0evelvpment & Transportation
__.racy CA._, 281 N. College Ave P.Q. Sax W
Fort cnllae, CO 8GS24 '
,..< -...;.` Phone 970-41(-2740 Fax 224b134
O01'ER.THE-OOUNTER PEi MrrS ONLY
Thle application to to be used to apply ter the following pormite only (check a)) that apply). 0 Air Coruiltioning
U Demolition (interior non-stiuctunip O Electrical Ateirstion (rot service change) CS Gas tighter U Gas tog
❑ Heating Unit r7 Lawn Sprinkler Q Mobile Home replacement }A Roofing F3 Sewer late C) Pheto•vottaic
G Vantlafi+on [,Water fie (must be EPA ca
a4er NlaM_r line (7 yyond/Peget Sirroo rified, provide make, model and
manu'acture ),
complete all aop)ie - e information yrI the at>Qiication. incomplete applications will not accepted.
/ippli tfiOn ft to�� _--/Y/! -=... � Date -5t. �
.
u Y
job Site Address (reiiiA d)
t2o `�---- C-1a •�-t i
Properly OvAier Name - - -
Contrectnr
Value of Construction (labor; atzteriah, profit
In hn
Address O y State
Adrhess I GtyJState Zip
Addl)ess
7.ip
Pttrxie 4 %� -
Phone
-------- -- -
-- --- . t? 17 Here ❑Report.
Contri[lw City of Ft. Cnllirts Sates Tex a Are you fmyin t was r t account? f:] Yes C7 No
.Sslsr.«rxr nlw+�:e'm�,•`aypy al! cw.+oxe ' Y WY 9 Y�
:is.mis a rmiderrttal or MMTrw;C'1'A Pr'jeC..? QR it!:�ttiat O Cr�mmBrrial C.Dupkx
If rewerihal, Is it: t& Slrigle FanA Octeched Ci Csrnrinitaw. �ttrtnie {strxik ramdY at A 11-0)
L: Muhifantily Nmitmert) 0 Garage.
If commercial, is it: 0 Bank Cl 68r Gl elturcl' ❑ HoteNWItel i1 Med¢t orfirx+ 0 Clfice ❑ Retail
C Pes'3urdnt ❑Other(expinkt),—---- ..._----.....—.�---------...—•
is this builoing so years'of age or mtxe? Oyes Ono tf yes,.,rrni ney rt ro cmtacY xniarrc±•rtsr.rvati:xr
.If this is fcr a demchti nPPam'it 5" , t tras ttiii iru&rr wt» ldirq MM ✓Rota3U',in•
Ifrxm(-Cs lv5 Ytx ' --' - -
'ii !awn syrinktet,'bar iQtow pleverltar; must list ikxflsNt Plumber- if first-time N(4 must 04 tir_gtgeii eie�tiUan.
subcontraetnrdi;[AiGSe c�torrDsnY :vnm,x rty off-7 t71N8xi iti.'vue
Omer .— -------
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I hereby a knowwge that I have m2od thisappitmbat and state- tbaT the above infomtatbn k m»tplate anU. ncxreR. i agree to
comply LWtlt A requireinents rcritartwd herein bmi dlY ordNiances and late lav,s regulaEinq budding ccnstructtun. 1 know that a
permit is rot Valid until it has been paid and issued,
Print Names.__^.^ ..._.—..—. .._•.—•—