HomeMy WebLinkAbout4555 Seaway Cir - Applications/Reroof - 07/23/2014Jul 23 14 01:47p Elite Roofing 3032433215 p.2
City of Planning, De retopmerrMTransportation
} 281 N. College Ave P.O. Box 580
or C Collins Fort Collins, CD 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY (LP
This application Is to be used to apply forthe following permits only (check all that apply). ❑ Air Conditioning
❑ Demotiion (interior non-structural) 0 Electrical Alteration (not s change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lame Sprinkler ❑ Mobile Home replacement IN Roofing ❑ Sewer Line ❑ Photo-vottaic
❑ Ventilation 0 Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applications wig not be accepted.
'tn
Application # Date
Forofflw ase only
Sob Site Address pep~
Value of Construction , enaberiats, profit)
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11
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ProIperty Nam
Address
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CitylState ZIP Phone
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Applicant Name
Address
city/State Zip Phone
g.<\Q&Q zeo3a
La 01r. I Co a
Contractor
Address 7
City/Stye Zip Phone
Contractor City�sof Ft. Collins es Tax p
Are you paying taxes here or by report? WHere ❑ Report
.sates, O w bya#
Are You paying with your trust account? ❑ Yes ®'No
Is this a residential or commercial project? p"Residential ❑ CommM:W
If residential, is it: fill'Sing)e Family Detached ❑ Condo/bownhome (single farmly attached) ❑ Duplex
❑ Multlfarreily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church 13 HoteVMotel ❑ Medical office ❑ Ounce II Retall
❑ Restaurant Ci other (explain)
Is this bung So years of aye or more? a yes F1�No If yeq you may nead to mntdctflismr�r
If this is for a demolition permit, what year was the building constrticted?
IfAwrto1975, you wig need an astiestas a2momenttos apfiWcabbp
Description of work
U w D spMKW/oaomow prevencer, mun list lid plumber. ff first-Ume A/C, must fist kensed electrician.
Subooretraebors: ListeYfeaznpanynametor6fyafRCaJN/s6i;ensa° d' (3
Bectriaan Plumber Mechanical RW, R_ i l other
I hereby adowMedge that I have read this application and state that the above infomiatfon is complete and correct. I agree bo
comply with allreqube finer. eomained herein and city ordinances and state laws regulating bung an curestructlon. It know that a
permit Is not valid until it has bepaid and issued.
Print t Gic 1(1L�:11