HomeMy WebLinkAbout2224 Stonegate Dr - Applications/Reroof - 07/11/201407-11-'14 14:22 FROM -Premier Roofing 9704848308 T-167 P0002/0002 F-279
281 N. C*pAw PA. HoD15B0
Fort t�lR,G0 6�34
phone 970.416-yX Fax
Ol i"HEf R PEW" OKY
This gGegan is La be used to ap* for dw *&Wk* RMWS Q* I 1c o6918tapplJtl A� oondtlonhgl
13 C®molRoe (h�tatior "� (] A taraW #tot w Aft dwW) a tias LOW 0 OU L99
athig UnR CI Leven 8 r 13 MM9 pang ieplaoenwo 17 Ro*W 17 &O N the a Fho*vdw
0 Heno $I 10
Ventl O wetBr Merater Q Water Line L7 yV&WFaVet ftve #uWb@ EPA caMW- provide mft model and
menuraahlrar?. 4 wiN not be eooepted.
CM"Ph to an appilaable hdlonlnIetan bet�ho app>kad�+• baeDmp�ete applli a
AppiIC00n #
�ra9PaAuaeong�' ' �
. tsit
oraoetvudr�>t pabo*.mats ,p J GOOD
propett^ �Y/W3v PhonyOPhan
coldtuw
�.
2ef—
I•Mulber t� l ie � r �C� to R vauGaitrsctor WV
o. Collins # Are
you
Pft udtll YN fW q o Yea a Am
.��riwm�'tr�a7r�adbYafa .
"
ra0dwW or Pam. dmtiaf G Oormrter `
8�fe 14T1A'(a� 13 Snp
°Nro'ne tie ti'�P �i p ��
tf aonane +b is it 0 ow( n awrch 13 loW .13 l aft 13 Oft 0 Kaki Is thte bu> ft Sg 1 sfSpF mor6 13 YO �J� 1��yaaddb ona�tt�vlcR+°mned�
IPtlr>s hr fir a datneligon affmit whet yaw voila tha boll g aonstnub¢d7
D��hib 197� Ym►W�111add�A�stlbmAtte�i �Jh6r.Zg9,9oi�M
a ddiow prevensP{. mud Ilti Qoen+ed pkanber. If flreatlma /11C, mkt Ik Hoensed etemldan,
dlawn
6tebo� Ltetdxt�ore�aiRemNa�sl%srar+r f
tsemt
I hereby acknowledge drat I have red � man SW Ma that the above hdbmL to tomp>ete and aomxw I $grey to
d negtdreme* aa+M Mm% and dWa NW Aft laws re9ing badtlg wouda+, S koaw do e
Pt IS not wti0 wdtl tebas"tsm any bNA
neaR=* . -rr fl... vN 7t . n 7�' A111 teem
- - -
JJ ot ra,wl i ( o pre.mf e v -kC-04� rp . cG rn.