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HomeMy WebLinkAbout1809 Rolling Gate Rd - Applications/Reroof - 07/25/201411/11/2013 13:55 9705872178 MASTER ROOFING CO PAGE 01/01 --.� TnMFwbfflQn Cit) - crf 281 N. College Ave P.O. Boot SOO cart Collins f;otComns, Co Wa4 PAone 970-41&27,W F= 22"134 OVER-THE-cOUER PERMITS ONLY $1� H7'�S This applic ation to to be used to o apply for 20100Wtng t onN (check all dw apply). 0 Air Con�tianing O DemoBtic n (ir+b',iur rmrrsmtr umo © escdloal Aftmlion (not awwwo ) CI Clas tighter 13 Gas log 0 Meeting I ink 0 Lawn Sprinlder 0 Mobile Home fepboanw t t] Roofing El Sauter tine 0 Photo -voltaic ❑ Ventibodic -n 0 Wafter Heater 0 Water Line 0 Wonditft Stove (must be EPA caddied, provide stalk&. model and manufacka ar;i. acceptiAd Comte pleI di applicable irdon�on an the aaplica�n. WaornPiele � wig not be AppUcation #-._4L)t j100 Date 30b AdrMees eL wf er Applicant D ------- G — 7 Cordd'ed1Dr �Q Nb Conbacw City of Et C.owm Safes Tax * vske of constrklctiokt (ialbr, , i>om Are you paying ames here or by repoft? t3 Mere ,art Are you Payirg with your trust Straw*? Cl Yes 0 NO All* a ldm%d or�y p 7 X 0 C°n"'r wdW If lestdenid W.Fa d, is DUPW nffiy omadied ❑ awr�kne CWLW (sire ► amKW n 0 Mulffan* (ate) O Cwap if aomnlm jw-, is it Ci Bwdk 0 am 0 Cikurch D HoWINOW 0 Madill office 13 Offioe 13 Bedell opmmwant 13 00mr (ate) Ise" bo Bng do years of age ur more? 0 Yes 13 No !/yery Yo+rQ+al`�Oa mntac!/ft�orlcPteswrva0brt If this is fog • a deraoYtim peruft wham year was the bullding ow smdeP l)FpvWa>.!9.75,}emukf'/aa9detd ffiON FlDJQAbf1dl*ftb*HPPffCaff i �A'1 Of work. *V lawn sp inlder/baMo w poomtw, fret %t pqunber }f ast- m AfC, aunt Im li mmd el mS.clom suboonlraktors:L&OheawvmwnawarayefftCaed0wA2ae# . I hereby at mnwledge that I have read dit appkafion mul st ft dot the above fn0mv atba b mnplete and W0 ML 'I agree to mnpiy vdt i at rmqukemwft aoatairfed herein and d W wftmrxm acid MOPE laws WWAM" huift crosaucWL I bww that a pon"K is i wt vaN until It has been paid and isskred. Appgcmt priza rawZ �Dfts : �y