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HomeMy WebLinkAbout920 Thornhill Pl - Applications/Reroof - 10/18/201310-16-'13 11:53 FROM -Premier Roofing cidy of port Collis 9704848308 T-031 P0002/0002 F-033 Planning, pffelapmed & ymmipomoan 281 N. College Ave P.O. Box 590 Fort Collins,CO 80524 Phone 970.416.2740 Fax 224-6134 O'VER. TNTE HE-COUR PERM IS ONLY fnr the fallowing hermits only (ehe* all that apply). ❑ Air Conditioning This application is to be used tp apPly ❑ Gas Lighter IJ Gas Log ❑ Demolition (interior non-structutal) ❑ Eleotrieal Alteration (not service chart n) Sewer tine ❑ photo-voitaic ❑ Heating Unit ❑ Lawn Sprinkl@r ❑ Mobile Home �heplacemerrt o6n9 17 Ro 13 Ventilation ❑ Water Heater � Water Line ❑ WeodlPellat Stove (must be EPA certified, provide make, model and manufacturer). a Complete all applicable inforfhation on a application. Incomplete epplleationswili not be accepted. Application # . 5`t ' a .. . s babe Application lob SiwAddress (revuire� Valve of Gonsllaction (fit matmiais, profit) 650C) lido l o t� 'P vrof+ d • (18 " property owner Name Address (sty/State Zip Phone Applicant Name Addt+sSSy/te ZIP Phone \ rasa City/State Zip phone ntractor {{1� 3a 01 V.,jZLQ lA U cc) L ere ❑Report Contractor City of Pt. Collins Tax # � Are you. paying takes hmeor by report? tarnwndsr�remwoad �1,a9 mnbsrmrs Are you paying with your &UA account? E3 Yes O NO Sales is this a residential or project' (residential ❑ Commercal wed) ❑ Duplex If residential, is it G mgleFaFarp Qetadted C7 Condo/townhome (single family D Multifamily (apartment) C3 Garage Icommerdal, is it: ❑ Bank to gar O Church G HOW/Motel • ❑ medical office 17 office' ❑ Retail E3 Restaurant © Other (explain) �� �� y p�rvsdon Is this building 5o years of age Or more? ❑ Yes o ff)4% yaa may 'ifthis is fora demolition permr7•'r what year was the building constructed? ffprlor to 1975, you ry7//naedan mentGoaubmr7 wr7h &J&4?A%fZ?b ►. LR%m *If lawn sprinkier/baddiow preVater, must list licensed Plumber. If RrsbtimeAIC, nustlistiicensed dettrician. SubmntMa [1sts mmPenY'/ a1��Yo%ftColllras/iaense Mer. Roof& Plumber, , _�---- Med�anttar — ElfDcot I hereby admowledee that I have repd this appllatimn and state that the above intonnanon s Cmmprere ano cwlI know that a an* with am requirements contained hen and city ordinances add state Ian regi1ehn9 building cautrudimn permit is not valid unbl It has been Pid and lssucd. P*dfOame`� j _