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HomeMy WebLinkAbout3002 Stonehaven Dr - Applications/Reroof - 08/29/2014�ri�fi�.9iti efaHL l.I@�i�aHBr�aM1B EI QakF'dUWtltlwaV �U"r This application Is to be used to apply for the fntlowing permits only (%hark all that apply). Q Air Conditioning a ❑emolidon (interior non-struchlral) O Electrical Alteration (not service change) ❑ Gas Ughtar ❑ Gas tog 17-1 healing unit CI Levin Sprinkiar 13 Mobile Home replacement LFl. Roofing © Sewer Line 0 Photo -voltaic Ci Veniiiaiion Q Water Heater El lalaier Lino U'Mood/Pellet Slave (must be EPA cermied, provide make, model and manufacturer). Complete all applicable information On the application. Incomplete applications will not be accepted. Application Date Foro(!1ce use only r— - value of Construction (labor, materials, profit) I Sob Site Andress (frqulred) i1 prop"��Owner • •.>J r�1r1' Applicant Name GontraetQr Address city/Slate Address City/Srate 2,1-1 t-, >. -T-c i�yr ` l Addressty/state i, Zip Phone Zip phone q-7a- Zip Phone Cony afar CiY Of Il <. Collins Sales pax it Are you paying taxes here or by report? I�ijere 0 Report safes CdYnfmrbarfsrequr�erihyr-y mimcf= Are you paying with your trust aanunt? es 0 No is this a residential or conmerdal PMect3 Iff Regdanb'at T1 Commercial if residential, is it 1D Single Mmity Detached C1 Condoltownhome (single family attached) u Duplex Q iqullifamliy (apartment) 0 Garage If commercial, is iC 0 Bank Q Ear 0 Church 0 Homl/Motel Q Medical office E3 Office ❑ Retail ❑ Restaurant Q Other (explain) Is this building 50 years of age or more? U Yes Q No if yes, you maynead is conrECHl WICPraSaAGffon If this is fior a aemelition psrmit, whatya'a 'Nas the buliding co�icted?- if'prfori'a 1?7T, you will need an asbPsmsBMaEw ant tta submicwifh Phis apPT'caDon- Description work r��� ls- s -e . to.cF e: , . , -4 - - OT rr r (a c -SIM 3i�b4r ztf la:m sR; inWErlbackrluw preventer, must list licensed p1mmoer. If Cirst time A/� must list 6c�sed electiidati Subcoy a ,ors:L'stf ewRiP�YnamearCryorFYCaI/insllcensa•= k- 359 r] firer FjtctlGlan PlUnthcr — M1tedranlral_ _ Raorer 1•- T hereby aciato:vledge That I nave read brta application and state that the above informaUan is complete and correct. I agree to comply with all requireanents contained herein and City ordinances and state lavis regulating building Lmmtrucdon. 7 know that a permit is not valid until it has been paid and issued. Date