HomeMy WebLinkAbout706 Frontier Ct - Applications/Mechanical - 07/12/2013FROM :NCA
FAX NO. :9702299983 Jul. 12 2012 04:34PM P1/4
Fort Collins
11*�`—
Development & Transportation
281 N. College Ave P,O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OILER -THE -COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). Air Conditioning
ElDemolition (interior non-structural) ❑ Electrical Alteration (not service change) ElGas Lights G7 Gas Log
❑ Heating Unit ❑ Lawn Sprinkler Ll Mobile Home replacement EI Roofing 11 Sewer Line ❑ Photo -voltaic
❑ Ventilation 0 Water Heater ❑ Water Line El 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 #1 p Date T--)t t--
For otNce use only
Job Site Address (avulred)
-706 .
Value of Construction (labor, materials, profit)
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Property Owner Name
Address
City/State ZIP
Phone `VID
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Applicant Name
Address
City/State Zip
Phone
Contractor
Address
City/State Zip
Phone G_'ro
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Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report? ❑ Here
XReport
salestaxnumber IstMuiredbyallcontwtors.
Are you paying with your trust account? I)KYes
❑ No
Is this a residential or commercial project? ,Kkesidenbal Q Commercial
If residential, is it: Ingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? Cl Yes ,P No Afyes, you may need ro contact Historic Preservation
If this Is for a demolition permit, what year was the building constructed?
If prior to 1975, you w111 need an asbestos assessment to submit with this appllcat/on.
Description of work
*If lawn sprinlder/baddlow preventer, must Ilst licensed plumber. If first-time A/C, must list licensed electrician,
Subcontractors: Ust the company name or City of Ft Collins license A
Electrician Plumber Media
Roofer
Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: t
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