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HomeMy WebLinkAbout1012 N Taft Hill Rd - Applications/Reroof - 05/12/201405-12-'14 10:23 FROM -Premier Roofing 9704848308 T-125 P0002/0002 F-187 Planning, w* To on Of 281 N. C*PAve PA l3or SW .,� wn5; Fort coMMCO U524 Phone 970.4*2740 Fax U44134 . .. tS MY aq , 9U Ovm"EsWUMI R PMI This applieatlon is to be used 14 appiy for the following permits only (d ma at that apply). Ci Air Condidonina _ Cl Demomon (urt rlor non.swogo 17 BecUfic al Xlet>ttton (not swhoe dop) D.Gas Lighter 17 ON Log D Heeling Unit 13 Lawn 8prinWgr O Mobile Home IePlac eRMt a Roofing D Sewer Line © PAOto voMBPc p Ventilation C Water Heater Q Water Line 0 Wo)ditlet Stove (must b@ EPA oenired' provide make, model and menutadurer). - d �• Complete all applicable interinatlon on ale ap U"On. Incomplete applieafions will not be accepted AppliC&On _ bate Far aft carant' ' I Job 5W*dde eW (re Wffl0 hM Applicant Name aftaceor City of Pt Collins Valrrp ol_g 01bVI Addno CRY/sbo�p o 9, Address otyloAft ap . Phase r— q�D Lg�3 atY/ TItilc.eQl�e`.t't $tfzsCr� r .. Are You Wo Wror by rWOV "ere Q Report m Are you paying Vft your6vst amount? ❑ Yes O No t'ri (—n V%A . I I MD n rD,tn.l MW_. 12YSff y"a. /-Oryl Is this a residential or al p (1teeldential 13 Commerdal D Dopiest If restderdal, is it: I�Fs" Celachdo ed 13 Con/townhome (single fa * attached) 0 Multifamily, (aparbner tl a Garage if commerdal, is it 13 Bank [] Bar 13 Church Cl Hot VMdtel ,17 Medical ORN 17 offm C7 Ratan G Restaurant 17 00m (001") reaedmm�tH�Nit 'on Is this bonding 60 years of age ay morel 0 Yea O No Yg81 /Y If this Is For a &MGMtop permtl what year was the building aonstrutted? .fP&YtoJZ%)4wWYrraedan stto.sa"tm idi/sBppGtat _ --- *p lawn qw Nder/:/badQlow pSeventef, must VA k9 sed plumber. If ti►otme AIC, W Ilmnsed eleariden. g,emnaacmrs:tattlte�rrYl►��cv�Y°f/�Gplllns/lrenss� Nedianl®i Rafr� � lids appfieaw and state that the above W&m t n is aom00 am cloyed. I agree tc herein and * oftnoes add SM laws regulatug WON aal8ht CWL I imaw that a paid and i`sWed.