HomeMy WebLinkAbout7319 Silver Moon Ln - Applications/Gas - Log, Line, Pipe - 07/09/2013INS i
City of
Fort Collins
D �
Planning, Development & Transportation
281 N. College Ave P,O-Box-580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). Air Conditioning
Demolition (interior non-structural) Electrical Alteration (not service change) Gas Lighter Gas Log
Heating Unit Lawn Sprinkler Mobile Home replacement Roofing Sewer Line Photo -voltaic
Ventilation Water Heater Water Line Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #_ a//1L[ Date
For office use only