HomeMy WebLinkAbout1800 Terrace Ct - Applications/Reroof - 07/10/2014Jul 10 1411:35a Wasters Roofing 9705688448 p.2
Planning, Developm'nt &Transportation
City. of 281 N. College Ave PIO. Box 580,.
Flirt Collins Fort Collins, CO 80524 III
�- Phone 9701116-2740 I!Fax 22+6134
OVER-THE-COUNTER PERMITS illllllONLY
This application is to be used to apply for the following permits only (check all th# apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ GP�I, s Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ SeweriiLine ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/pellet Stove (must be EPA.certified, provide make, model and
manufacturer). 11
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application#_ Date
For office use only
Sob Site Address ilrequlred)
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11
Value of Construction
Qabor, materials, profit)
00
Property0w erName
Address
City/State i
Zip
Phone
Applicant Name
Address
City/State i
Zip
Phone
9
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cl S.
1
o-610-18
Contractor
Address
City/State
Zip
Phone
Contractor City of Ft. ColllKs Sal4s 'Fax #
salesimnumber isrequkadbyall mnbacfts 0877
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Are you paying with yourtrustiaocount?
9kes ❑ No
Is this a residential or commercial project? 4 Resldentfal ❑ Commercial
If residential, is it: jKSingle Family Defached Cl Condo/townhome (single family attaled) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, Is it; ❑ Bank E3 Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office 13 Retail
17 Restaurant ❑ other (explain)
Is this building 5o years of age or more? ❑ Yes Klo If yes, you may need to conbi t Historic Preservation
If this Is for a demolition permit, what year was the building constructed?
If prior to 1975, you'w111 need an asbestos assessment to submit wltb drls applleatfOn,
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Description of work-
i c ass . SQ .7 GmirAp
rk
*If lawn sprinider/badcfiow preventer, must Ilst licensed plumber. If first-time A/C, must list Ikf used electrician. .Sk—c
Subcontractors,. Lest the company name or atr of Ft Co/uns Ikelm # i
Electrician plumber Mechanical Roofer �` Other
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I hereby acknowledge that I have read this application and state that the above information Is
comply with all requirements contained herein and city ordinances and state laws regulating bi
permit is not valid until it has been paid and issued.
Applicant:
print Fume: O h
ate and correct I agree to
construction. I know that a
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