HomeMy WebLinkAbout6101 Paragon Ct - Applications/Mechanical - 04/30/2012Apr 30 12 08:51 a Swan Heating and Air
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9706130826 p.1
City of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
&t Colhn5 Fort Collins, CD 80524
Phase 970416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
Thy plicadion is to be used to PPIY 9 Pe kY ( PPIY)A�di� 9
O olition (interior non-structural) 13 Electrical Alteration (not service change) O Gas Lighter ❑ Gas tog
Heating Unit ❑ Lawn Wnlder ❑ Mobile Home replacement O Roefing ❑ Sewer Line ❑ Photo -voltaic
O Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
m:anulacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
O iD ay (-p r Date LI ��' 1 Z
For ofi?m use only
Job Site Address (reiquhad)
Value of Construction (tabor, materials, profrt)
/ J , w a
Property Owner Name Address
City/state Zip Phone Q-70
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Acyer
Appkadt Name Address
ji
U City/State Zip Phone
Contractor Address
City/State Zip Phone CrT�
Contractor City of Ft. llins Sales Tax #
Are you paying t ixes here or by report? ❑ Hem Deport
sales tVf17=ber1srequlrred by all mnlrddws
Are you paying with your trust account? des ❑ No
Is this; a residential or con project? 0 Residential ❑ Conunercial
If residential, is it: 130§ngle Family Detached ❑ Condoltownhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it» ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑Medical office ❑Office ❑Retail
❑ Restaurant ❑ Other (explain)
I Is t lis building SO years of age or more? ❑ Yes o Ifyms you maynead to mntactH6tvricPr?-qar2ti0n
If this is for a demolition permit, what year was the building consbvded?
I Ifpnor to t975, you Wil need an asbestns assessment to submit WM this app&abon.
Description of work
*If lawn spfiNdWbaciffiow preventer,, must list licensed plumber. Iffirst-time A/C, must list licensed elecbidan.
Subcontractors:List mecompany nameororyofPtCOMMkense0
FJedrtaan Plumber Medmnical Roofer Other
y aGmowledge that I have read this application and state that the above Informan is complete and correct. I agree to
with all requirements contained herein and cky ordinancetio
s and state laws regulating building construction. I know tthat a
is not vatld until It has been paid mW issued.
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