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3915 Sunstone Way - Applications/Reroof - 08/13/2014
GCr�[y. }of Ptam lm& Da jdq n� g<' otqm r—f t matins �N. cM CI Ave P.O. Box 580 ■ v, � Oo@ins�, CID 80524 ROM 97Q 415-2740 Fsa n4-6134 OVERs-THE-COUNTER PERMITS ONLY TWU appttca"" is to l» umW to apply for the fW whV p mats only (daft an VW apply). a Air ConWoniag a Dtarnordion (rtrttuw non-Ghm" i? Elechical Abra8on (not swvl ;e change) ©, Ges Lighter Cl Gas Log ❑ Heading Unit Q Lawn Spdrtidar 0 Mobgs Home replacement ■ Roofing a Sewer tans . 04 Photo.Voltaio 13 Ventllation 0 Wafer Heeber C9 Water Line a WoodlPeitet Stove (must be EPA tbrtified, provide make, model and Cpm0161A all ApPUcable buformation on the app9maom Mvompk tt3 appovaadons will not be w=pbHL AppiiCddon L-9 ® & 2�5;-�f -Dam. �7 Finaftlmi mea* 7 1, a 3 b an Pow, mawwk Pn►b) 1 $ O� Owner Name Address Cfh'/Stabs: Zrp Phone tent Name . Address ZIP Phorie r - i� Gortratmr !1c Address W/Aft Zap Pitomm i t<CCt�C'r. f��•CG'�G�l' LgeQ7rJ `57'�3o Contractor Cay of Ft.&mm sates sax Are you pvyirrg taxes here or by report? ® Here o Report rarnrarberlcragrdedbyat ant s Are you paying.vft your trust account? M Yes l] No Is this a residential or commercial pv*ct? 4K Resident CJ C7ormwdW IffesiftAK193t 1 Bungle FwAv Detached Q Cond%%mm taome (single tt3ma1V amadted) E3 Dnpletc O nAftmity (aPt) O Garage • If oar wwdal, Is M a Dank 0 Bar © Church 13 Wataj/Mobel o Medical dfifW. 13 Office 'a Retail 13 Restaurant: ❑ Other (explain) Is this f uMV 50 Vwm of aps or nwe? a Yes 0 ko D°yts ytav nraynased lb al7tat t`l tfC Gbrr V itds is for a demelftim prim, what year was the WJMV combed? DRp>ils►m?9� ytatrrvil/ne�rtdanats�saes�►rtmrra�itliLa{ga�edabyx m V lawn sp tg& r/ftaddlow pteYeaw, must at QaenSad Pltrtdse if ftrst-iitlle /4/C, nttrst 1$t tensed eleC an. � !.t?Sttfla rlyndrl�e ur(,NyAfR[}s�irs<lla� ef` iaoof w� Other r ht> * aaat%*ft ft1 bWe thud this app�wtl�n.aedOft thatthe ahcts kdbm om is edmpia�a and atxtedt. ; agree to comply whir aA herein and ft aril stabs laws mj abng haft Grohrtsm I kno m r Hot a partrtt b net raBd aaesii R has been pWjt =W 1!muad. 1��yy �• - �� c..h��`b!1 ' .pate � % / `"l 10/10 39vd ONI 9NId00a a7O9 OZ10669OL6 9Z:ZZ VTOZ/0/80