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HomeMy WebLinkAbout900 W Magnolia St - Applications/Reroof - 09/30/2014q--30 �n CoWns This applica3lon Is to be UGW to apply for the t L Nmolition (interior non-elruetuml) © Electric* Keating Unit C Lawn Sprinkler ❑ Mobile Hw L! Ventiiation u Water Heater ❑ Waoar Line 0' manufacturer). Comatete all applicable information on the app Application Pbmbgl Dev&kWmft* & TW1nRorlation FFwt kC* OA�4.O.8oac SW Pone 970-416.2740 Fttx 224-6134 0/Oq.2[* PERMITS ONLY 9 Pe mlb only (check all that apply). D Air Conditioning Iteretion (riot 9efVIN Changfa) ❑ Gas Lighter 0 C-ms Log mPISCOinefrt 0 Rooftn8 D Saw Line Q Photo -voltaic wd/Pellet Sloe (must be EPA m1fied, provide make, rnodei and Inc:ovnplaie apaiieatlons will not be aooepted. DaW __9-3'~/y . yob Sits Address ( value of Cenbt.d l= (labor, mabrfab, pm t) JO t,.J. 1Y1 ��i; g�? 0o property i7wmer *dame Acidmss aty/suft ZO phone Y Ds rn l;2 Fr. CALL_ �a yg3r Alicant .hams Adder/State ZIP Phone Contras or Addr>rSs ' aty/slaft ZIP Phone ! R=&sric q wr, won w Utica h&.,. Qnc-10 i t An ,ate contractor My of Ft. Colt s Sales Tate # '' �x+rJrraie',erdj'�q'rmba2ws is this a residwtial or aommard al project? a A if fes&"bai, is it' 9 Skvle Family DebKhed 13 If Wrnmetdal, is It: 0 B p Bar q MTch 0 Restaurant a other (i Is this txMng 50 Years of WA or more? 0 Yes If this is for a demolitiift 1001" , �what yar was Ifcfiorto-,R7,youo/Aft�(wa whC:i/LD&MM Desmptw of work *If lawn sp.'inker/b,� prevantg, mtgt fist qMqjW Sveoen4zct0nu Lhtlfaey�Bnrear�lyD�RC Sectridart pip. e accnvwwGP that I have reW this appocoon caaptr with all reqWrurwb =ftbW herein wW cfty twit to nor va W unfll it has bM paid and Ist4rl Print : # &ttjr Are YOU l UM here or by rat? 11 Here L Report me You NOV with Your hat a mound a Yes 0 No ! i'J Ccnurrartaf (*Oe 13 DjOex HOWMOtd 0 ftkW ofrow 0 office a Retail I p naafi m ttllnrc PrtYon L to O&cfz Q 4.T6 aru Av I phunbw, V fest-tine q/r, must Ist kwzed daft:tan. i Roafpt„_ i 51 f� per d state that the dose kfAOmladlat is winpif ie and eortact. I agree to flafances ar+d deft l2Mrs nlgul00 bctltding aoresdruaioh. I know that a 1 1� �•4._►._ e -3w