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HomeMy WebLinkAbout2700 Blackstone Ct - Applications/Furnace - 02/25/2014-. - - T 15f . ¢3 . Planning,, Development &Transportation City of 281 N. College Ave P.O, Box 5'$0 CC�1�,1'15... 1=hone llins, 805Z4 d Phone gins, COC 8052 Fax 224 6i34 -0VER,THE,kCVUNTER PERMITS ONLY This application is to.be. used,to.apply;tor fhe following pe1. rmits only(check all that apply). ❑Air Conditioning ❑ Demolition (interiornon-structural) n Electrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log ClHeating Unit ❑ Lawn Sprinkler M Mobile Home replacement ❑ Roofing. Q Sewer Line rl Photo-wltaic ❑ Ventilation Q Water Heater Ca Water tine ❑ 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 # B1 -00LIqU . -r n n For off3x eme only is this a residential or commercial project? . (Wltesidential . ❑ Commercial If residential, is it Isingle Family Detached © Condo/townhome (single family attached). L7. Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ flank ❑ Bar Q Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explainj _ Is this building 50 years of age or more? ❑ Yes 19'�o Ifyer, yau.may nm rnconbctHs�byrk FYasrrvabion if this is for a demolition permit, Whaty.ear was the building constructed? �_ �^ If prior tb 1975, you will nwd an wbes'rbs assrssmant iv sudmit wib5 this application. Description of work *If lawn sprUikler fiadcflow pr66riter, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: Ust the company name or City of Pt Cal" lk&Ve # p Elec6lclan piurr Mechanical Roofer other I hereby admowledge ff0t I have read this application and state that the above Information Is complete and correct. I agree to comply with all requirements•contatmd h6rcin and city ordinances and stage' laws regulating building construction. I know that a permit Is not valid until It has been paid and Issued. Applicant: Print Name: signature Date