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HomeMy WebLinkAbout408 Duke Ln - Applications/Reroof - 07/01/2013FROM :kessler FAX NO. : Jul.01 2013 07:33AM P1 ,F-:6rt Collins Planning, Development & Transportation 281, N. College Ave P.Q. Box 580 Fart Collins, CD 80524 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER . ONLY, This application is to be used to apply for the following permits only (check all Mat apply). © Air Conditioning 0 Der olition (interior non-stnxxuml) O"Mecirical Aftera6on (not service change) ❑ Gas tighter ❑-aas Log ❑ Heating Unit !}Lawn Sprinider ❑ Mobile Home replacement XRWfing. ❑ Sewer Line CI Photo -voltaic a V-en ilation ❑. Water Heater ❑ Water Line. Cl WoodlPellet. Stave. (must be: EPA c Wmcl,. provide make, model.as , manuiachxer.).. comohdwall appt#cal�e irrfWrMI torto7rt mappHctiorw.icatort,� S aflka car' onq Ir=M.ftWa.PPffWffmWWWnot bs aoceptetf Date 7 i i 3 Sob Ske Aiftlrew (nq~) tzwol,of- vcdon (tabor, matl�rials prvfitp '408 puke Ln 21 Prop" Owner•f ne Address aty/5iat , zip i ... • n. "Ike, oV�P � i Tc [� OQSZr? 4-9I5,0 Appikant Name Address C&7/State Zip Phone ContradDr, uc #iQ4LW Address CWAGt3te Phone- , ssc LWAtr9W*ChVCv- 626 VrcrM.1A AV, jjf--M Co MSZW �.�'f 6'�- Eontracmr Cky of Ft Collins Sales Tax Are 7rw paying goes here or by report? ❑'tww Xtwxt-Qhb� Ink 14unis ICX&W OY alfarVaMm Are you paying with your Oust acwunt? 'Yes aft Is oft a r ttWorcommereW Project? A• ResIdentWp Conmrer It mar: is it A Sin* Family Detached- © Gm0/inwnhorne (stele rarnfly att2clu d) R Duift Q Mull#dmrly (apartment) Q Garage If omm mmwi, is it: 13 Bank ❑ ear ❑ thurcb O Motel(Motd 13"Medkal amm O office © Retail 0 Restaurant ❑ Other(mgMn). Is. this btu 50 years of age or mare? D Yes XNa l�r 1 Kneed to caRbrt li�if'c titan. Ifthis is for a dead pmrlxdt, what year vmtl* tarildkrg aoi> hudea. -Wouar to z-vz-,� ym my as asb,esws asNeRmwnt to submcxm ddC.ej9WCaGfora Descriptionof viork a r' n a s N a L f rYog T n. '421 I�r 2 ins a ii r (aS�e��� l r+ ern: iirlCASrana rn *If kntin s inldar[baddiow prevertter, musk fist llcensaed plraYrhm. ff fust-time Ar, must NaLlimnsed dectildan. S1d7 pr9:LArMeca. pa'tynf�Aeor��RCd�iCSI�GH'�i' � Plt»d MeddraF . Reofer 1�+_ 12.2 QWAW I hm'Av aftwmedW ttrat I hale read d s m0mum aad sta* Est aboMe �feaane is r le6Eti.arxl.e , I agree er oampLhr witb.ail tuts ao twreiir.andc�,y.aixt s�e:iawsseg.if'ig.�..t teiesi1�ee. . permits isct_vWd until ithmberaapeid and Wmim pntt=x4>#-SSI,4W-