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HomeMy WebLinkAbout1208 Gaelic Pl - Applications/Reroof - 10/17/201310-16-'13 11:37 FROM -Premier Hoofing ollins 9704848308 T-030 P0002/0002 F-032 Planning, Deaelopntent & 710°n 281 N. College Ave P.O. Box 580 Fort Collins, Co 80524 phone 97o416-2740 Fax 224.6134 -OVER..THE-COUMR PERMrM ONLY This application is to be used tp apply for the following permits only (check all that apply).13 Air Conditioning C7 Demolition pni eflor non•structu al) O Fjecbicai Alteration (nat setvloe change) 0 Gas Lighter ❑ Gas Log b Heating Unit ❑ Lawn Spiinklor 0 Mobile Home heplacement D Roofing O Sewer Lin® O Photo -voltaic [I Ventilation Q Water Heater q Water Une 13 W&&Pellet Stove (must be EPA oemed, Provide make, model and manufacturer). complete all applicable iniorMatiorti on application. Incomplete applications will not be accepted. Application -oroA%e use only 3obSithe"/tddress (negrd/adi Pro" Owner Name gppiimnt Contactor Contractor City of Ft. CoUins Pate ) (7 71 1 Value of ConstruCtioq (tabor, materials, profit) Address city/State Zip Phone Address City/state ZIP Phone Address CKY/State Tip Phone Tax # e you paying taxes hereror by report? •gene 13 RWrt fty-4. . Are you paying with your trust =ount? © Yes 0 No Is this a residential or I project? L4i'Resldential ❑ Commercial )f residential, is it: �Famity Deladied ❑ Condo/Gownhome (singe family atredted) 1:3 Duplex Gi Multifamily (apartment) 0 Garage If oommerdal, is it: park Q Oar 0 ChurchO Ocher [3 hotel/Motel • � Medical office t7 Otfioe 0 Retail Is this building 50 Years of age OF more? Cl Yes o A`yes. you ntayned tC cont xZNL ffCPIE SO WNW If this is for a demolition pernlil what Year was the building aonstrudsd? Upnor l01975,1ro4� w/uneedan ashes t to su&wk with d�sappfiadvn- of *If lawn sprinider/back iow preventer, must list licensed Plumber. if t"me A/C, mist list kwIsed dectl ick'n. subCorrpadww L&dM comp~.rnypameoralyofRLblwns/lrrim as k7eari Vttenbet mftmnfcaL — Roofer other_.,.,.______ + agnx w I hereby admowledge that I have rid this app ce and smote that the above ktfonr>ation is complete and oorrec>; oonbmw herein ordinances arid city ordinaarid state laws n lating buUn9 eor>stnIction. I know that a Comply with all re9wrerrt5 and issued. permit is not valid until tt has; been Print Alm Print Name:,7�1'�C�. signature