HomeMy WebLinkAbout2804 W Elizabeth St - Applications/Reroof - 06/01/2012From Affordable Roofing Inc 1.970.207.0289 Fri Jun 1 16:26:23 2012 MST Page 2 of 2
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28I. N. Ege Ave P.A. Bx 580
Fort Golfim,C080524
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Phone 970 416.2770 Fax224-6134
OVER-THE-COUNTER PERMITS ONLY
.This application la to be uead to apply for the fotlwrrtrrg p*TMIW cnty (check at(that apply)-. El Air conditioning
.0 demolition (triterior non-gIrtc urall a Electrical! Alienation (rot service change) 0 Gan t.f r 0 Gas Lou
0 Hewing Unit. 0 Lawn Wnklw 17 Mobile tioma eapiawment Q Rcofinp R 6swer Use O:Phate-vottatc
0 Ventilation. ❑ rNatet beater Q Water Line 0 WoodVellai Stove (must be. EPA Oartilled, provide make, model and
;1manufa<diaet).
C:ompleta all applicabb3 information on the appnoatlon. incomplete appiioatkms wM not be ilcCeOod.
Application #_ f f �� I Dates 6'il !1 i _
slob Slito Address (LV VkW) value cearsbuatlan (tabor, materials, profit)
Fof
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Rape owner Name Adds~ ZiP
tCity/state
Ycil•-t:�R{{4rir; `d.rc irYnY ice.cS:z.1
AppgCenC Marne Address City/State &W Phone
e c� 8Zr5. 20
as Ad&ESs t?NrSiata 7)p Pion
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�Qont+artPr ctty of Ft. Cotibts sales Tax a �. ^Are You.._ PaOng here Or by report? 13 Here Ci Report
Are YOU Paying'with Your MU account? 0 Yes0 NO
�saks
tax•,aoaevi,rrega9ednyea <amaocae s
Is thb a residerttlal or rnrrrmerczat projactz ■ Reud�rual Ci (yrrmerri8i ❑ 0up[ior
'tf it: ■ �ngte. Family Detached � fib family a
iuYden(ial, is
0 M 0 Garage
tiF n* (eMbne )
Bann 0 gar 0 Ctnrrch ❑ HoieVmotei ❑ Medl®i`OPPCC 0 otflce 0 R�aq
if consrrertialr is it
Ll Regaurwt 0 other (evwn)
0- nn . !f yrxr may j.,wd o =MjctM" c-PYe
'Is d8s txdiemg SQ yearn of"aor morel ❑Yes yes,
permlG vdrat Year was the tr fang mnsbucW? ,,Al .-..
. if eft is for, a demolition
i <Yprm 14T3, You WS needW MU!Ocs arsersrrrent roarrbr+ll arbYr is erpp.Wt&
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': s jr i IVT «, must.Gst gter 6 piwntKr'. 17 ttS-time WC� Must list gceabed ek'cbtgan.
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