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HomeMy WebLinkAbout1407 Barberry Dr - Applications/Reroof - 03/31/2012MAR-31-2012 13:23 FROM:CEDAR CREST ROOFING 970 669 6152 TO:2246134 P.2/2 (3ty0f 281 Pt Ofiege Ave P.O. Box SW rt Cou�r�s FWt OdhM dD 8=4 Phone 970-416-2740 km 2246i34 OVMTHE-COUNTER -PERMS ONLY This applIcallon e to be used to apply for to toawAV permits only (cheek a6 ttaid applo o Air ConcMko rrg o DanolMon ( normeauchm l) O Electrical Altmuffon (not service d W) O lids LV"r o GM Log D Healing Unit 13 Lawn Sprinkler i] Mahe Home repWMGM 01 Rooft 0 8MM Line D RWb4vUb ❑ verd b*o [3 water tmeder © Wow Lim ai woodpWw slows (must be CPA carWiscl, prtOnAde metre, model and mmudinchu"- Corr- late ap an the applicalkwL bwomphte appQoadone will not bd acceplad. App►iraUgn *. Ill_'IS I Date FaraPM as sme arty ]ob Me Addy (aWOM9 trahw of Ool;h =dlart (labor. ratite , p wit) cu 3 100.• 4 Property Owner Name ASS City/AM ZIP Phone 0�0OOZ is Gp SD5-U d3/- ;?ISL5 AppDaff t Name Address city/Sty ap Phone tic * Address R-1a.3 1. Contractor City of Ft. COMM Sales TaX # ' aGtrnro►rder B►a4w++dbYafa W 3G�ssnr Cm►/stift ZIP Phone i. 0--' & r.♦ Are you paying taoces here or by report? M Here 0 Report Are you payM with ywrr bust account? ® Yes & No Is this a residenW or con nrerdal project? D ReWerdtal 13 Conmm dd If mddodK Is It ® Singte Rm* Drmdred ❑ Q MdDAWMh0= (OnOe tdnft adadmo E3 Dtq*w E3 Mukffamgy (aparbrAno CI Swage if m MVMffC at, is itr O Bank I] Bar Q Caneh O HoWMaW 0 Madkal office © ORtOe 0 Retail O mvt 13 other (ealary) is flat buMng 50 try a f age or,none? © Yes ■ No D"yr� 1 may need h� I r�iC An�I°.ruefr(ovr If Ms is fbr a dentolitbn peatrlt;, what year was the hrrad ft awed? ffpkraip JWX xwwAYnesdMaa sa2mmnentbA&PWnodeis AwkftbM Descrip41Onofvvork T/S.eA QAF rrA•r=JjC, SNP Aegf2&e Le.7i,—a ?e Y6.o,e CJI��r6 r 137 cr�r���� c *r lawn slnlnlder/baddk r preverftr, runt bt t mtwd phavdw Ir fbit4JM Alq must Usti Itserrmad subooMreebor-! [Ee ow cow vwfAen a arfrYajT czk s'j1eraaI rr rzoarer C arsa►JOhff I hereby adan *fte Ont I lave read Ihis and state that the above bfti, W is Complete and awr 1-1 I agree to wrq* with all rearkonertts aordalned herein arld &y.or*W= and slate laws regula I bull ft aonstrudtan. I know bait a parmM Is nark valid urM It has been peld add Imwed. Date 3 J3 i L1,a