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HomeMy WebLinkAbout607 Castle Ridge Ct - Applications/Mechanical - 04/21/201404-23-14;07:56AM; ;970-484-4448 # 6/ 15 Fprt COLlII15 of Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 8=4 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMITS 0 L This application Is to be used to apply for the following permits only (check all that apply). r Conditioning O Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighte ID Gas Log Heating Unit ❑ Lawn Sprinkler C3Mobile Home replacement ❑ Roofing ❑ Sewer Line O Photo -voltaic ❑ entlladon C3 Water Heater ❑ Water Line O WcodfPetlet Stove (must be EPA certified, provide make, model and manufacturer). ' Complete all applicable information on the application. Incomplete applications will not be accepted. Application # F>14o2231 Date L-;W Poramm use only "3ob,Slte dress•(jeq Value of Construction (labor, materials, profit) g d L+. �� La f�o5 / l. 0 0 Property Owner Name . Address City/State Zip Phone l5� A plicant NameA ' Address city/state ZIP Phone A! / Ll til �0 q 4� N1/ . ntractor Address City/state Zip Phone /of & M a 9044 yp grMY Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? Here Pkeport sa/estaxnumberO bya1lcvn&actors Are you paying with your trust account? Yes 0 No Is this a residential or merdal projects Residential O Commercial If residential, Is W. SIngle Family Deta O Condo/townhome (single family attached) O Duplex /© Multifamily (apartment) ❑ Garage If commercial, Is it; O Bank CI Bar ❑ Church O Hotel/Motel O Medical office O Office C3 Retalt O Restaurant ❑ Other (explain) Is this building 50 years of age or more? 0 Yes 0 No Ifytss, you maynesd to canbet HfstorfcPraservation If this Is fior a demolition permit, what year was the building constructed? tfprior to 1973, you will need an asbeAty assessment to submht with this applkadon, of work *If lawn sprinkier/backflow preventer, must ilst limed plumber. If first-time A/c, must list licensed electrician. Subcontractorst L& the company name or City of Ft Collins #cum # Mectddan _ Plumber Mechanical- Roofer Other -1 hereby acknowledge that I have read this application and state that the above information Is complete and corned. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until It has been paid and issued. Applicant. Print Name: jDate-��