HomeMy WebLinkAbout1619 Trailwood Dr - Applications/Reroof - 08/12/2014t'��l�iti�mtlEi'BG'f'+�V3r@�ItlVBt�99 Yl OaQraYVltl01wlv•�an�u
This application is to be used to apply for the following permits only (cheek ail thgt apply). O Air Conditioning
❑ Qemoitiion (intsrlor non-etruetvlaD O Electrical Altmtion (notseMee change) 0 Gas Lighter O Gas log
O Heating Unit O Lawn Sprinkler i3 Mobile Home replacement �Rooitng (7 Sewer Line O Photo voNBiC
0 Ventilation 17 Water Healer 0 Water Line ❑ tnloodfPeliet Stove (must he EPA oprVied, provide make, model and
manufacturer).
Complete all applicable information on the application. incompiew appliostione will not be accepted.
Application # t. Date
]ab 9tGe Address (requhad)
IU 19 1—rw(IWOook "pr•
Value of Construction (labor, mateda►* PrOM
Property Owner Name Address
�c
City/Rate Zip Phone
9-1() - Na.o . h !s
.-. Bey,L
Applicant Name Address ^
Gfty/90te Zip Phone 4-w
-r-,r Af a [="t'C Cd F;oSAS , ;Lo7•-LjB60
Contre�oS Address
ty/Slate Zip Phone
Sales
Col tti ettvr City of ri Comm Sales Tiiic a_
xmdu y o r-L C
Are you paying trams here or by report? d ' Q Report
Are you pig with your crust account.? 15YYes II No
writ
aysv oar
Is this a raridentm or.commerdat Pro3ect2 1$ Residential 11 Cammerd3l
51 a Family Detached Cl CondO/wwnhoma (sb4e family ettmdhed) 13 Duplex
If residential, is It: a PlulMmi y (apartment) ❑ Garage
If tommercta4 Is it ❑ sank E3 Bar ❑ Chur& ❑ Hobdimd ei 0 Medical office 13 ci fice ❑ 1 eMil
0 R0.5taurdnt G Ocher%eoaln) needitvconfaCfHiBrWCPrF32rtatibn
Is this building SID years of age or more? 13Yes ONO ffYe6 YO41 mac`
If this is for a,demolitton psrinit; vdmt year was the m ld�oanIlt � �t�appilcdUon
.IfPHerto 1qX Y0+1 will need an asbasras as-as�+
Oem iption of
4T lawn wanlderlbacMew Q armor, mud; list liaenmd pi=ber. If lln"me Afc, must list lloansed decbidan.
Sub Antrattors: UstWeCwXnYfrsrueorOb,ofAtOff
agcbfda . ?cum
Medren>m1 — Reader- �' (SSq�
I 1jerebyv rl arl rgjie that I have read this applimtIon and slate that the above inhbnntlon is wood a and Corfu. 119088 to
Cdlnply wlNt ail r�rdr2rrrerrts Contained herein and, dty.ordinancrs and state laws regWatlng building oorrstrurtton. I imow that a
permit is netvalid until it has been paid and issued-