HomeMy WebLinkAbout2936 Indigo Cir N - Applications/Reroof - 08/11/2014lob Site Address (requlred)
-Value of Construction (lalx>r, materials, pM#t)
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Property Owner Name Address
Qty/State Zip phone 'R-10
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Applicant Name ... Address. , ...
City/State Zip Phone . __.....,.
Contractor. ...................... _.......:..., Address ...._.
_...., ........C[tY/StdbeCY-Q Zip ... Phone.`�63 ..
Contractor CityR. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here. . CI Report
,Safes AwMffnaerh;requ�ti.aya#cof*
Are you paying with your trust. account? E3 Yes. O No
Is this a residential oa- oamnnurJal pr4JdGL? U Ptwwlde dW Q Qxn rruvAlal .
If residential, Is It 13 Single Family Detached :13 Condo/townhome (single family attadted) •C7 Duplex
3. Multhmily (apartment) ❑ Garage
If commercial, Is i1; ❑ Bank ❑ Bar .. ❑ Church ❑ .Howlimotel :10 Medical offlre ❑ office ❑ Retafl .. ..
❑ Restaurant 13 other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyms youmayneed to mntactHistnricPresp✓Lr bbly
If this is for a demolldon permit what year was the building constructed?
Ifpdor to 1975, you w111 need an asbwtos asFes wnent to subfmt wlb9 this application.
Description of wont a'q S 4Cf/a, ' > cYN
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....... ... .
*If.lawn sprinkler/bacidiow preyenter, must.Nst Ucensed plumber. :if.ft meAjC,.mustlist licensed#FcW
SuboutrtradborapLAt ffie.cmWnyv1w or 0?y ofR C #hs Aawm A Electrician Plumber Mechanical Roofer Other
I hereby admowledge that I have read this application and state that the above information Is complete and correct. I agree.lo
comply with all requirements contained herein and city ordinanrom and state lews.rgryulatinro building construction. .I know that s.
permit is not "Ild ,until R has been paid_ and. issued,
Applicant
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e: v'�r oY signature Dace