The URL can be used to link to this page

Home My WebLink About1515 Coral Sea Ct - Applications/Reroof - 10/06/2011Qot O6 2011 7ilORM HP LRSERJET FRX P.10 Aianninor tlravelo �►VLLIi�s Tro 281 N. College Ave p pt� 0 PoHatlon Fort Collins, co 80524 Phone 97()•416-2740 pax 22+61." OVER-THE=COUNTER PERMffS ONLY 1-7°,S This qWk attan la to be uard to apply for the toltowlttA p�rndts ❑ nen►oltdon (Interior non-structural) p EleoMt ell Alteration (n o t ae MO�nley (oheok an that apply). Q Air Condldoning ❑ Haig Unit d lawn Sprinkler ❑ Mobile Horne replscemant L'' change) 0 Gals lighter ❑ Gas � 17 Ventilation q Water Heater 0 Water Une 17 Wood/Polbt Stove must be EPA so8rf�� pro a make, model aw ►nanutscturer), Coinptate Olt 201i0able info �on the Application. Inca Application # U u� wi p °^� applications will not Ica acospt.d, Axor911x r — I I I Pats ]Ob 9bB Addren (ragr„j Value of cor1ib11CtlOn abor, rna0erla l h is, profit) � ©, Z PrOPertY Owner Name Address city/State ZIP Phone Applicant Name Address City/State Zip Phone Contractor Uc p2 21 l �r Address I .I. _ _ I c , City/State Zip Phone Contractor MY of Ft, Collins Sales Tax # .sell" aw &Writer&rmdr.dd..m M,,,.,...._ Are you paying taxes here or by report? m Here Report Are you paying with your trust account? Is this a readentlai or� ercial project? kasldentlal 0 Commercial If residential, is L- LkrSlmgle Famgy Detached O Condo/townhorne (single family attached) O Duplex 13 MultlfamllY (apartment) 0 Garage If commefcK Is It ❑ Bank O Bar O Church G Hotel/Motel D medical Of ice a Office Cl Retatl D Restaurant M Other (expie�n) Is this building 50 y� of ape or more? Oyes L7 No 11`y� you �y „� m aantact N�vAc Bator, If this is for a denwiltion panttlf;, what year was the building constructed? !f pr>trr � 1975� yyrr wu4 REti~•d a!r ats6te�is alarssrn�ent m sivbm/l' wlrYr lfrrs �nprltaaEtcv,. Description of work *If lawn Prevarber, must list licensed plumber. if first-time AIC, must list teerresd elecMan, Suboontrac WMI Lkt h* g7vtW&V nar»e cv MY of fi` QaW=dQwAw 0 i 9MCIM Plumber MedankaL. Roofer Other I haebY admMedge thst I have read this application and state that the above Infnnnadon Is complete and correct. I agree to comply with all requlrernents contained herein and dty ordinances and hate laws regulatlng building construction, r know that a perndt fa not valid until It has bean paid and tasuied, AppBCovo Print Hama. TJ ....may. I.0, ,i. .. .