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818 Maxwell Ct - Applications/Reroof - 08/08/2014
Aug 12 1408:28a Elite Roofing 3032433215 PA I planning, Developrrwrt & Transpartsdon -City of 281 N. College Ave P.O. Boot 58 0 6rt Collins Fort Collins, CD a30524 Phone 970-416-2740 Fax 224-6134 0�0$ . $o OVM-THE4=NTER PERMITS ONLY This application is to be used to apply for the following permits only (check all that apply). 0 Air ContStioning ❑ Demolition (interior non-structural) O Electrical Alteration (not sary change) 13 Gas Lighter a Gas Log D Healing Unit ❑ Lawn Sprinkler 0 Mobile Home replaoemerht Roofing a Sewer Line 0 Photo-voitatc D Ventilation ❑ Water Heater © Water Line ❑ Wood/Pellet Stove (must be EPA certitled, provide make, model and manufacturer Complete all applicable Information on the application. Incomplete applications will not be accepted. Application # 1 Q-C Lai Date FW a!&e use only Sob Site Add (repuiedJ 0 Value of Constivetion mbar, materials, profit) 3 <6�% �O Property Owner Nam Address City/State Zip Phone -z)ck Applicant Namkd Address Chy/State ZIP Phone Q)CIL 7630 a Conlrador Address it Gty/State Zip Phone Contractor City of Ft Collinsl4ales Tax # Are you paying taxes here or by report? RrHera ❑ Report Saks AV Onumbrr rogvJ e d bya9 cw*amxs Are you paying with your trust account? 0Yes M$110 Is this a residential or commercial project? ®'Residerktial O Commercial If residential, is it B Single Family Detached 0 Condo/townhome (ftle family attached) 13 Duplex 0 Multifamily, (apartment) EI Garage If commercial, is it: 0 Bank ❑ Bar O Church ❑ Hat~ 0 Medical office 11 office O Retail ❑ Restaurant O Other (explain) Is this building 50 Years of age or more? 0 Yes 19Tb If yw=s, ynu inay net d to mnbtt franE P�vaaiorr If this Is for a demolition permit what year was the bulldeng constructed? YpnPxbo 1975, you wN need off asbestus amemwrent to submit wlbr ffis 4gp&abbra *If lawn sprMdeybaddiow pn=venter, must list geer>,ed plumbe,V V first-time A/C, must list licensed electrician. Subcontractors: Li ft ow$wy wow or 0W cffrCd/!ns &znw ,y Beditw PhrMa Merhari al Rode R_ Other I hereby advaowledge that I have read this application and slate that the above information is complete and correct I agree to comply with all requirements contained hence and city ordinances and state laws regulating building construction. I know that a permit is not wiled until It has been paid and issaed.