HomeMy WebLinkAbout5219 Castle Ridge Pl - Applications/Reroof - 03/12/2012Mar 12 12 12:58p FM Roofing Inc.
1-970-221-8526 p.1
Fo` rrt Coffins
$—sm-NO—PUD—ruaftun-
2B1 N. C &MBA a P.O. Banc SW .
FortCdbl% CD 80524
Phone 9704WZMD Fax 224-6;V .
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0 Heew+g Unit 0 lawn SpMftr Cl Moble bane repboement 1BROOM 0 sewer Una 0 PhOUP40flldC .
0 verdgm lon 0 weber tieaber 17 water une C7 WoodlPeliet Storrs (must be EPA aer0 : provide melee, rraodet Ord
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Property owner Name
Address City/Sta1t ZIP Phone
SO- IV-E, z 2a -oq-8
Apple* Name
Address ZIP Phone
Catrartor tic
Address ClyJ-Rae zp Phone
FA Roofing Inc. R-400
1629 S. may -Avenue Et. Collins, CD SOS25.970-221-1388
Cwtvacbor Cfly of ft Gobs Wes Tax #
Are You poft tames here or bV report? ® Here 0 Report
selamrmmiar&nw*vYbya/aormwna
18596 Are you Raft with yastrrat aaoount? 0 Yes M No
is this a resid�lal or mmrerr3ai Pnrjadt [l Re9deand Ocommerdd
IF residagfalL is lt: 1A Skw* AamO.v Detadud Q Gw1wilmavdaome (sieges fm* eadaed) 0 DR*M
11 !4>ilRaruiy H 13
ff aommeio d, is it: 0 aaaic 0 Star n Caasdr 13 HcWVMobd O Neft l epics O Offbm Cl Rra
a Rest 0 0dw (e mbb)
Is flats buifftW 5D yeas daps a rave? O Yes O No lF)w . yav Awymm d8b caara<ar F AIS62*Awa Ol
Uthis Ls for a demollI ba pt, ft- oftMyear vm the btd3ap emsbuctedt
D'iori7rfi Z973, lw rdmea?an ada�nvs�tar8fi ffilrappdcaGbrt .
* am Pu ddlow prever>ba„ im ust BtSasrsod pkm ba_ ff one AK must list 8oensed electrician.
[1st0liemmyr�yname ar[Sj►af/gQ�raiaerese #
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I hereby aI 19 that I have read Oft 1 p0ra-1 ad state that the atime iIOrmanimr is oaeap" and corned+ I agate to
cormall► with all regatrerr I ' tnraI Cl haeie ad dq ardinenors ad Oft fowls reg g 91aa9 6 9 construdlga I bauomr that a
permft In sot vaW errW It has beam paid and tsaaarl.
ApPScmft
Prig NM
Date