HomeMy WebLinkAbout812 Biscay Ln - Applications/Air Conditioner - 06/29/2012Jun 29 12 08:27a Swan Heating and Air 9706130826 PA
planning, Development & Transportafion
281 N. College Ave P.a_ Box 580
Fort Collins, CO 00524
Phone 970-416 2740 Fax 224-6134
OVER—THE-COUNTER PERMITS ONLY
This application is to be used to apply forthe foltowing permits only (check all that apply)- Air Conditioning
0 Demolition (Intedor ,on,structuraQ 0 Electrical Alteration (not service change) ❑ Gas Lighter 17 Gas Log
Q Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing 0 Sewer Line ❑ Photo -voltaic
E3 Ventilation ❑ Water Heater O Water Line ❑ Wood/Pellet Stove (must be EPA certified provide matte, model a
manufacturer).
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Complete all applicable information application.oincomplete applications wi0 not be acr�Dted n
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Apaiication #
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Applicant Name Address
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contractor
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CordracGor City Collins Sales Tax #
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Is this a residential or m al project? d�rtial E3 Commercial p Duplex
If residential, is it Single Family Detached Gaiage/i�ownhame (angle farrdly attached)
❑ Multifamily. (apartment) ❑ Medical office ❑ office ❑ Retail
If commercial, is it Cl Bank peesttau ant Sat 0 amain/
Is this tufitdEng 50 yem's of age ar more' Oyes o If yes, you maynaed to mntartHrsrc preseruratwn
If this is for a demolition Permit, what year was the building oorusburted? frcaffon.
Ifpnor to 1973, You will naedan asfiestus a�wAtto SU&W WNh M's aPA
Description of work
*If lawn sprirdder/baddiow prevenler- must list licensed plumber. If first-time NC, must list licensed declrldan.
SObooiltractors: W Me avrnpany name orOWOfRCaOlm Nae� t Derr_
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plumber Medkwca — — POGW
tr�xon and state that the above ration is eomPl� and cornet t I agree ID
y acimWedge that I have read ttds appl bu�ding aonsbuction. I brow that a
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comply with a, requirements contained herein and cfiY ordinances and state laws regu�tin9
penoit is not valid until R has been paid and iSWe&
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