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HomeMy WebLinkAbout825 Arbor Ave - Applications/Reroof - 09/13/2011SEP/13/2011/TUE 02:21 PM FAX No. 002 3-125� F -tyof Collins Planning, Development & Transportation 281 N. College Ave; j P.O. Box 580. Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMUS ONLY This application is to be used to apply for the following perms only (de* all that apply).13 Air Conditioning 0 Demolition ('interior non-str aural) © Electrical Alteration (not service change) O Gas Lighter E3 Gas frog Cl Heating Unit Q Lawn Sprinkier 0 Mobile Home replacement ) d Roofing ❑: Sewer Line D Photo -voltaic O Ventilation CI Water Heater 0 Waiter Line ❑ Wood/Pellet Stove (must be EPA cerBHed, provide make, model and manufacturer). Complete all applicable information on the application- Incomplete applications will not be accepted. Application # i 7 Date _ _ _. -1,Jbkk For crftae only Iob !rft Address &eq&P&) S25 4Yb[`Ar' Vahre of Consb=Uon (labor, mimb, profit) S o Property Owner Name Address City/State Zip Phone Cop, Applicant Name Address City/State Zip Phone Cont ect or - - - Address City/state Zip ` Phone ContradDr City of FL Collins Sales Tax # &mwhWhya#=nba=m Are you paying taxes here or by report!? X Here Are you paying in M your trust acoDuni? O Yes O Report O No Is this a residential or ogmrnerdal project'? Residential D Commercial If residential,is R.- b(Sngle Family Detadled ❑ Condo/townhome (single: family attached) 13 Duplex Q MuMmily (apartment) ❑ Garage If eorr merdal, is it: Q Bank O Bar D Church O Holpi/MoW E3 Medical office 17 Office_ Q Retail D.Restaurant Cl Odw (explain) - - - IS this louttding S+D Yeats of age or more? p Yes 1314o 1J`yas; you may heed to snstbct Hismric PJseiration if this is for a denwi tim Permk what year was the building constructed? IfRriartu I973, you wi�neBdaor►asbesb�siiv submit with �iisapp/�b� _ of Work *If Blom preventer, must list reersed plumber. If First tlme A/C, in Rk Scensed elemidan. Subcontractors nisi the =Mwy name or G7ly off Ca fffiv /lam 0 - I hereby acknowledge chat I have read ft application and state that the above information is complete and mrre M I agree to comply with all requirements contained herein and city ordinances and state laws regulating -building consmxdom 1 lapow that a perm* is not wand until it has been paid and issued. Appkaft Piuit:.t IriE,Q t✓1 £ jl� Signature L,% t Date k 1