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HomeMy WebLinkAbout220 S Sherwood St - Applications/Reroof - 03/26/2012w.GtS p�L. w l ac r-- O f b�d-Ud-Q^je,v- For N. College Ave P.O. Box 5130 T Fort Collins, CO 80524 -w � Phone 970.416-2740 Fax 224-6134 I S 0 R-irm -COUNTER PERMTS ONLY This application is to his used to apply for the following permfts only (check all that apply.). O Air Conditioning E3 Demolition (interior no strut) ❑ ElecMcal Alteration (not c change) O Gas Lighter O Chas Log ❑ Pleating llnft O Lawn Sprinkler .� Mobile Home rBpiaoement;ooftng ❑ Sewer Line ❑ Photo -voltaic ❑ nufaVenfiation 13• Water Heater 17 Water Une O Wooditllet Steve (must be EPA certified, provide make; model and mant,tiaehuer). Complete all ;IPPIW bl9 infofmation on the application. Incomplete applications will not be accepted_ Appikatlon # �J I �' 0 I Sy rZ Date ForofteLm a* Is this a residential Or' roject? rcial pential CI Commercial If residential, is it: Family Family Detach ❑ Condo/town home (single fann'lyr attached) . ❑ Duplex (apartment) ❑ Garage If commercial, is it: 17 Bank [J Bar d Church ❑ HOW/MOW ❑ Medical ofirce ❑ Office © Retail ❑ Restaurant El Other ( ) Is this building 50 years of age or more? ❑ Yes jfyffi y Yw may need to cvniad �rwvnt Pn's don If this is fur a demolipoe permit, what year was building constivicbedp IfXb,r rb 1975, MV PWI need an asbemvs a, mmWty wvbmrt'WM W&ap#kabon. of work -lC- w *9 lawn Wriklerybaddiow preventer, must list kensed plumber. U first-time q/C, must list Ilmnsed electrician. SubaontractorseL MemvrounynanreardlyofRCOWINAhwtseg Efectridan Pfurrdk+r � Mechw;SmU. Roofer. oew I hereby ad m Wedge that I have read this appihption and state that the above hrformathon is complete and correct I agree to comply with an requkemeNs contained herein arid dLy wdWnees and state haws mgrdaling building cww&ucpon..1 kmow that a Permit It nut vapd until It has been paid and imued. Appliaanr>a PdntNarne: �`J f .�igrreture pia �/2�/�1'