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Home My WebLink About1007 Deer Creek Ln - Applications/Reroof - 07/22/2014Plig6111% Development 8 Ttwopiwtowl 281 N. College Ave P.O. Bak 580 ; fat Ccfilns, CO MM4 phone 9MA16-2740 Fax 224.6134 OVER-THE-COUNTER• PERM17S ONLY This appliewon is to be U80 to apply for the following permitaonly (chock all that Apply). 0 Air Conditioning 0 DemoRdon. Qrdarlor rmq 0 EleclrW Alterdon (not, se change) 0 Caas t.iglitar I] Oas Log: Heating Unit 0 Lawn Sprlrijkler 0 Mobb Home replacement )Qaooting 0 Sewer Line 0 Phoiavoltalc , ❑ Ventllaticri ❑Water p Water Line ©Weod/Pellet ova (m be EPA certified, provide make, model and : Camptets all appooMe 1Mol natkin on the application. Incornplew applications will not be acted. Apptil:atia'1 # 6 o? Deb ,%a%x/ lab 5.no Add Vialae of Consbucam (labor, materials,Plom rty Owner Mpme Address City/.%Ee ap hone Appli®ntName MOMS'city/Singe Zip Pkione pie : u m T/Na - s �l0sv ow- g -9wo CordracbDr Address' (34dState• ZIP : Phone Daffmaly sr �' f.ol'�r Ns Gd�asa7' 97a s/s�Qi ' Contractor City of Ft. CoMns Sales Tax # Ara you paying taxes hen or by mgmrt?'}(Mwe 0 Report . SoW furor O& raw*W bysff+ radue• Are you'pong with your trust. amount?)Cy" O No - Is d11s a reddentW or eom pn�ect7 jKResTderM i] Qwna lal if residerft419 it angly OeWwd G Condo/bnnhome (single farngy attached) C.I iJripler Mdititbfngy (apartrrrerrt) Cl Garage iFaomrrrorKcial, is A; O Bank ICl Bar M Much 13:Ho d/Mdd Cl Medkel ofiim 0 Office ❑ RAtafl • ' 17 Rasta 0 other (ex�a61) ' Is this building s4 years of a more7 A Yes O No IF�y yolk nrayireed ifl �vtt`I�gsfA7cPYrrVallon 'If thla is for it demential peroik, what year.was the Guiding consbucte8'l � Ifpriarin 197s, yr, �nead�aas�nent m svbinlrrvmr, �rapladreaGiat, ' won of work ' ,off' o � -,� n UJ ;2-67 _S .^, -, ' *If fawn sR�kler/badQlow p:B++CpbCri must IISt t wrAd plumber. If first-flme NCB, muse Ust elecirklan. Subowaracwo w memXA�Iwa :nearayoffirairPsBcwm Plurbw-McbankK. Raaw 'I hemW adunwledge that I have read Us applk oWn and state tlrat Ste above ad'omWnn is complete and cbrresr: I agree to comply with au re*fkarnents cmftned herein and city ordInances and, siatefam ne tditg buidre nor OVOIon. I know M4 a permit is not valid total it has been paid and ISPAII. k err@ / Date qllzz .. .