HomeMy WebLinkAbout2850 Mcclelland Dr - Applications/Mechanical - 06/11/20147iY
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7-31 N. CallageA'e P.O. Box500
Fort Collins, CO 80524
Rgone470-416-Z74f1 Far 224-6134
This applicafLito+an Is to be used to alsptfry for tine Mloydng pencufiLs only (c6tsck ail float appiy). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Elacicsl Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Pleating Unit ❑ Lawn Sprinider ❑ liroblle Home replacement ❑ ROO(ng ❑ Seveer Una ❑ Ph7io-voiteic
❑ kleu tilation ❑ Meter Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA car9ied, provide make, model and
manufacturer).
Complete EH Info-nnataon on the appllcstoon. lncomplete eppltWons wrDli not be arce M.d.
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For opine use on.1,
Date '7 ,
Zalli SM AAc drws (required)
Value of Cons—truction (labor, materials, profit)
eo
Property Owner Name Address
Gty/State Zip Phone
11 "71
Applicant Name Address
City/State Zip Phone
IIAV-T
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Contractor Address
City/State Zip Phone
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Contractor City of Ft -Collins Sales Tar. 4
Are you paying taxes here or by report? JK Here ❑ Report
Sales lax number is required by all caniractnrs.
Are you paying with your trust account? ❑ Yes ❑ No
Is this a residential or commercial project? ❑ Residential 0,Commerdal
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ HotelfFlotel b Medical office MJ Once
❑ Restaurant ❑ Other (explain)
❑ Duplex
❑ Retail
Is this building SO years of age or more? ❑ Yes PkNo if yes, you may need to contact Historic Preservation
If this is for a dGmalltian pertm ft, what year was the building_ constructed?
If prior to 1975, you W// need an asbestos assessment to submit vilffi this application.
i _.
lawn sprinkler/baddlow preventer, must list licensed plumber. if first-time A/C, must list licensed electrician.
Subm,rdtiractom: List the company nano. or Oty of Ft Coll/ns license 0
Electrician Plumber Mechanical Roofer O'dter
I hereby acknoveledge drat I have rc-ad dvls application and state ilrt the above information is complete and correct. I agree to
comply wlth all requirements contained herein and city ordinances and slate laws regulating building construction. I luv6vv, that a
par mitt: is onot vaild until It Boas bean paid and ii wued.
Apltlleact.
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