HomeMy WebLinkAbout2215 Puma Pl - Applications/Furnace - 12/20/20114
Fort Collins
i
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be uaed to apply for the following permits only (check all that apply). 0 Air Conditioning
0 Demolition (interior non-structural) 0 Electrical Alteration (not service change) 0 Gas Lighter 0 Gas Log
17 Heating Unit 0 Lawn Sprinkler t7 Mobile Home replacement 0 Roofing O Sewer Line O Photo -voltaic
O Ventilation O Water Heater 0 Water Line 0 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the applicatiork Incomplete applications will not be accepted.
Application # 61240093 P Date 12/20/2011 25. pp
Forofi~ice use only
Job Site Address (required)
Value of Constructlon (labor, materials, profit)
2215 Puma PI
$1662.00
Property Owner Name Address
City/state Zp
Phone
Boo Pinson 2215 Puma PI
Fort Collins 80525
420-4445
Applicant Name Address
'City/state Zip
Phone
Boo Pinson 2215 Puma PI
Fort Collins 80525
420-4445
Contractor Address
City/State ZIP
Phone
Gary Hooley Heating & Air 1314 Webster Ave
Fort Collins 80524
493-3272
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
0 Here 0 Report
Safes tar number& rcqu+iedbyall mmeanws
Are you paying with your trust account?
G Yes 0 No
34734
Is this a residential or commercial project? M Residential O Commercial
If residential, Is it: 0 Single Family Detached O Condo/townhome (single family attached) O Duplex
C MulUfamily (apartment) O Garage
If commercial, is it: O Bank O Bar O Church O Hotel/Motel O Medical office O Office Cl Retail
13 Restaurant O Other (explain)
Is this building SO years of age or morel ❑ Yes 0 No If yes, you may need to contact HlsWrIc PreserVat/on
If this is for demolition permit, what year was the building constructed?
If prior to 1975, you wffl need an asbestos asmssment to submit with this appilcatlon.
Description of work -Replace F 4mnce
*If lawn sprinkler/backflow preventer, must list licensed plumber, If first-time A/C, must list licensed electrician.
Subcontractors: Ust the company name or dty of Ft Collins llh we 0
ElectrIclan Plumber Mechanical H-1654 Roofer
Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. 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: Sheryl Johnson
Print Name: ry Signature
Date
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