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HomeMy WebLinkAbout127 Pearl St - Applications/Reroof - 12/15/2011From Affordable Roofing Inc 1.970.207.0289 Fri Jan 20 12:42:56 2012 MST Page 1 of 1 @Iameitsgr pmenEBtTrauspon Otyr Of 2K PL GAVe Ave P.U. Box 50 phone 97fl-R16 2m fmc n"134 This appficafim is to to used to apply fb r the f0lhwr irm permfs ordy (check aR ihei aWY). ❑ Ak C;Of dit6orli'Q P aernoWw t tt*ftr nonatucturatf 0 aectticalAfterabw (not =vice dzan$e) a G" tighter 0 Ces Lo® ,Ci hie a8ng Und 0 Lawn SptirWer Ci Mobire itoane mPtac� 0 Reafnsg ❑ Sewer Line ❑ Photo-vWtaic 0 Ventiaon Q VftW Heater Q Wafer Une 0 Vft&PoM Strove (mud be EPA certified, provkie ttrait . mode! and txanuFeceu+Ebj. pomplete all amMcattle Informa,60a ou the am*Catton. Incomplete aoDBeafiom wX not be aaoeWad. B12 U033�Date Aar weor* Sob Sine Address (mve 7 value of Ca�ucklow Pabar, rruaAOdit P MM — PrOpetty>ht►rteriVetne Address city/stft Zip Phone ?iApp Kwtt C Address aiyJSYate ZIP phone a—�. i 'Con r 1 Address GLY/5tate Zip City of ft . cotes fat Y Are yQu irXg Caoces hie orby t@aort? He 0 Report saraEa rmatimm�s.a dbrap �s Are you paying with yourtrust 8cw-ZnL1 Q ND cis ttAs a residerift or cmranerriet pru%eW —ORt dd 0 CommercW (] i)u�e:c r tlaG is ASutgt. Fa,O* DeMdmd � Cot>z�Awettome (singtetamdyattadred} © ylultifanWy (aparfrrtertt) 13Garage � comrner ct3 is iG 13 Bank 13 Ear 0 Chuirrb I3 MiOWMotet © Medfcai office Cl t 0 Retail D ft5wurant O Other (eT'3 sL this biilfding SO yvnm of age or mores O Yes Wo' IfY yrw.ma�Yrrcwtf tb e:vrtaoctfl a►icHrse+rua r 'if the is for a dernoUhm tm+t what year Hues the buii&ng mnsfructad? rfirjww 19%4 ynrt w6G rrer�an a aOmwx [msmdrrnrrWO h%& SAPfaM s. M i.�II't3wn SArinklerfEtaridiay► A►=veep. mttd 85L:Ha�7d p1umL+�'---Sfirs;-time AjC, must ff� froen5ed etemta`dtt. �6uhmrmarAoraa Ust tlx ni' nvne arlJTY�13`�Skb^� Rumbe� ftrrhmrltaL floorer-� pihaX c r hereby actomwiedye tit0t I have read tW appkebm and -wtdtethattttt3 abt>ve 9> enatlnt! is tam attd Cenert I agree fo onmplY wlllt aN reRrAenserrts mttxairred herein and dl r ordlnwroesana etaoa raves reWA tirrg bUWM mrittruMLI krona tlsat a parndt is not vraiid mebl it has beset a" MW t6 ""L 4 - i Firmt