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HomeMy WebLinkAbout3352 Laredo Ln - Applications/Reroof - 07/01/2014Jul. 1. 2014 2:53PM ADVANCED ROOFING No-1330 P. 1 City of Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Fort Collins For Collins, Co 80524 Phone 970-416-2740 pax 225-6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for this following permits only (check all that apply). Z.Air Ccnd iioring ❑ Demolition (interior non-structural) ❑ cis.�i,-foal Alteration (not service change) ! O Gas Fighter J Gas Leg ❑ Healing Unit 12 Lawn Sprinkler Cr Mob ils Home replacement ,Roc ng D Sewer Line C Photo -voltaic ❑ Ventilation Q Water Healer ClWater Line Wood/Pelle* Stove (must be S?A car pied, provide make, mode! and rrranufacturer). Complete all applicable information on the application, Incomplete applic2tfons wili not be accepted. Application # 1514033Date rvi unIce ux onry rr lob Sam a J:1���� � IS• _S �/�y.. n..• Mari Ic n — A66u pas 6-nox* rj `~ .t7 S0 O Propery Owner Name Address Cry/State Zip Phone 1.SnS ' � • �--B-P.C.e:...ti,� � c�pS�,�� Ato Appli©nt Name Addrs Gt JS�� rp. Phone P7d rJ Zj es 4� 1�en4:s r c Wind e Co Contractor Uc # V Addry G y/5`t= up Phone > Contractor City of ,Ft. Collins Sales Tax = Are you paying taxes here or by report? Q Here u Report ealasza nU+Gerisraaurw vyaacm�m Are you paying with your tn�d account? Yes C: No IS his a residencia! or cpmmercial proje4? R�siderrai ❑ Commeruai L`-restderittai; fs it:7 ---- -Smgle Faniiy-De�c;-iefi �,.Conbo/townfio'f�6 (siric{e `amity �t�Gi�) r7 ��upie,:' Multi`amiiy Bar C) Church 0 GaragHotel/ ) ( 1r commerc;al, is k: ❑Bank t7 i3ar ❑Church G Hotel/Motel � Medici emce ❑ Or`ce q Res(I / Ell Durant ❑ ott^er(explain) Q Is Giis building 50 years of age or more? u Yes �No. Yms, younayr,'1_-z0rc?res=rracon if this is for a demolition permit, what year was the building constuced? %`prig hp 1975, you WIt need en a545esms assessment to submit vvve,r v�zc app4cnAcn. Of *ii lawn spr*, ler/backrlcw p4vertc, musc fist licensed plumber. If a" ,r�.-_me A/C, mus its ica Lied c!rtr'c«^,. Subcnntraetors. List t6ecompenyneneor0,y,aI; Cc/%stcsns20 E;e tnow, Flumbe' P=fa! Iheeby adclowi�:ge tnat I hare read tlis applicadon and stator u'!at this above Ilformaticn is C6(^Gie ar,d Cp(reCL I acree t0 coripfy with all re5uiremehis con�inec' herein and city oreinaneEs ape, st_tc fw,,s r'_datri builoing ccnstrucdon. I know that a per:nit is not valid until it has been paid and ssu Applicant: r print Name Sign I!Ura r Date -17