HomeMy WebLinkAbout2600 Parklake Dr - Applications/Air Conditioner - 07/10/2014Jul 10 1408:25a Swan Heatino and Air
9704513-0826 p.1
ort Collins
Planning, Development & Transportation
28] N rhllPgP AvP. P.O. Box 560 .
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application Is to oe used to apply for the. following ptanrita only (shcok all that apply). r Conditioning
11 Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log
0 Heating Unit 0 Lawn Sprinklor ❑ itAnhilo 14rvna rP.nlaramPnt I7 Rocifino ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation 0 Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # (JO+ Date 10 ' H
For office use only
Sob site Address (saquirad)
Value of Contraction (labor, materials, profit)
A�Ly- lie —
Property Owner Name Address
/State
City/State
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Phone U
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Applicant Name Address
citylState
7in
phone
COntramr Address
City/State
Zip
Phone cl -1 O
Z1J•Si�-70
Contractor City or Ft: t_onins holes Tax ir
Are yuu i..eyiaay taxes hat or by rep0rF2 EYII✓ 0 rioport
s�Iestaarnumderisregrdedvraiimntrauors
Are you paying with
your trust account? Lcl'Yes
❑ No
Is this a residential or comm al project? BReslclenttal ❑ Commercial
If residential, is it: CgIringle Family Detached ❑ Condo/townhome (singly family attachcd) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
if commercial, Is. il: 17 Dank ❑ Bar ❑ Church ❑ Hatcl/Motcl ❑ Medical office ❑ Office ❑ Retail
0 Rwctaurant ❑ Other (Pvrlain)
Is this building So years of age or more? ❑ Yes ra-f o Ifye you m naed to contxtNlsloricPiesermi on
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to subm/t with this application.
Description of work
V lawn sprinlderlbad<tlow preventer, must list licensed plumber. If first -lime A(Cr must list licensed electrician.
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Eleanoan rlurnz) ne f= Other
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comply WWI all 1 cyuironcnts oontnincd heroin and city ordnuncac and nbta lawa nmgulating building conctnrrtinn_ I know that[ a
permit is not valid until it has been paid and issued.
Applicant:
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