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HomeMy WebLinkAbout2842 Seccomb St - Applications/Reroof - 01/23/2012From Affordable Roofing Inc 1.970-207.0289 Mon Jan 23 15:00:01 2012 MST Page 1 of 1 Pbojft% pevatopusera a Transportation ��ttyaF 291 N. Cvlege Ave PA. Bar SIM Cons Form CO WR4 Phone 97D-416.274a Fax 224613 4 OVER -THE -GOUT TM PER M ONLY TArs aippllcalkm is to tw used to apply for the foam" pwwd* only (clrw* an mat apply)_ O Air Con&dama Q Dw mftn [vftnw rrwrsbnWra}) D Becairat Abrdtlon (not senior dwCe) 17 Gas Ld-dar 0 Gas Leg 0 >� Fhrtt ❑ lawn SPnniker O taobOe Norm replacement ❑ Roofing O Sewer thra ❑ PhoWwoMdc Q UertEllaUon 0 VAAer Heater O Water the ❑ WoadlPwwStave (nma be SPA perdle(t provide make, modal and Manufacdaer). C0100819 all 2MV00BUO information on the appOcaflm tneomp►ets a"fica6oas wall not be aaeotted. Aar oxaz—a* jchsite ,l ( ) Va1seof sabe rmwk&% wow . Pmp� r / Ouvrmr Nam AddfMS Ltrlstate Zip Phone �Csz (c '�-7-zz3 :Apt NneAddress city/state Z4) Phone 1 0,� _ j - , q I' Address aty/ to zip�y• Phone tSL'� (r '.CDnhsaODr City of Ft CIbiins Ssl .T +6 Are you ing taxes here or by vapor'Rliere CS lll2peat . adMaam*acars. Are yuu tayft wfth your MrA a=u W es O No 19 Mb a m5wen al or mmmedw prodec17 - Ankaadazal 17 commet w II n L is R single fondly Qeached II Conft1D ftOM (argle famZy att3CMQ 0 Dupes n NutGFamity Op ernmrt) 0 Garage if cammmr is it 13 Sink E2 Bar I] Qw[dr O Rohl/mcW C! PWxW oOke ❑ OlHee 0ReliA ;'Estlds btrlldklg 6O v� of aga nr nxvmz II Yer. o I.`i�iYrM%+I+eY [a ctsrtattF&s Ae�ar�OEm V this k For a demnadeaa permit what yearwasthe buidkw rnnsbud.0 - !,nFaf�eh 19J"..� pud ndPxedar asps asci�mfto.vOynR evAY LSaAvP.6raNeva Of Lim %%w1d¢rlbaddlow peventer, mast 115tkemRd pertnber, If first-ume Nc� aarst ft dwmd eremio an. list tlmawwAyRMW ar*ofFt Cagtsdc> we d Hunter f tdw1ML ao $a — Mw -T haaby atk m Aadge Out I have rod ddsap*3t'cn and-mdatathatthe abave. lefemt9Am S amnpLftaM mnC&- 1 tgreatp :-COR u8tll V re"rerAw"s W MMnad heren and CRY or4MNK sad dwm um megtila*Q bdMg oan>aructfon. I know dwt a pv+..tt b notvand UnM it hW been Pali and lSned. � I €€ �I r ti aG RV-A.t ln4tAIMZ, 45,..t..s rl =tom_=°m-- --Z3- iZ ,