HomeMy WebLinkAbout5012 Redbud Ct - Applications/Reroof - 09/08/2011From Affordable Roofing Inc 1.970.207.0289 Thu Sep 8 08:.39:59 2011 MST Page 1 of .1
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281 N. CoAege Ave P.O. Banc 580
Fart Collins, CO 80524
Phone 970416-274o Fiax 22+6134
En�r� ONLY
Ias application is to be used to apply for the following permit,a ofy (check all that apply 0 Ail' Conditioning
Demolition ('interior non.WuattnO [I Elec>ricat Alteration (not service change) Q Gas Lighter 0 Gas L09
Heating Unit 0 Lawn $priinklec II Mobile Home replaraetYierrt 0 Rooting [� Sewer L ine Q Photo voltaic
Ventfton Q Wager Header 0 Wbter Une D Wood/Petlet Stove (must be EPA certified, provide make, model and
all apple-iriiorrnation on the SPAW10n.
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Address r
owner Name _ Address
tncerrtplete Spacooris woo not be accepted.
value of Constru (ww' Gnat Prdw
CitY/Stift ZIP Phone
CA'Y/ ZIP Phone
G11t,Gr S zip Phone
rad+or GLy of Ff. Collins . Tax Are You pWn9 taxes here or by report? a 17 Report
& rnw*ff is rx�grrim d war can Are you payn3 with Your M st: account? es O No
Is litis a residerttlal or erwl prvjec Rr detttial Cornrnerc+al
.If residential, is it~ gle Pdmh Detaches! � Conrtatwnhome (single famly a � �U�
10 Muit9 w nay (almrtrnent) O Garage
1f cormnerdal, is it: Bank Q Bar fl aCwri3 Hot�/Mataet 0 Medical office [ Ofhoe ❑ ftetaii
13 tee
Restaurant Hlsewft Preserve"
Is this building" 50 years of age or more? 0 Yes No IfYa* Yvu DW ev'rfact
If (Etta is for a de notit� Per k what.year vim rite but�drr�
Ifoob-tb 1975'.you rafll need an as*-, tOs aM &Wne"t 0 sum WAYi Vk9 aPPftb
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lawn sprinkler�b *Ww pmventar, must List iioertsed plumber. If fU�-tlme WG► (tensed
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`SeebcDntse ListbheGtiernpanyasme.ort�yofFd CoDins/kerrsa
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t�trican_-
-I hereby ad nowled9e that I [rave read this appUaftn and sm that ft above .infornw ion is complete and axrect. 189 a
zeomplY y� a® r�� co�ained herein and �y or,dinarioes a stye taws tsguliatirrg bc�ldin9 00 -
I know that :: permit is not void uno it bas (awn Paid and issued. t
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Applicant u t' ti Date
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