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HomeMy WebLinkAbout802 Napa Valley Dr - Applications/Reroof - 08/21/2014CIty F t°CoUins Plamher Owdelopment & Tratportatfian 281 N. College Ave P.O. Box 530 Fort C bids, CO 80524 Phone 970-416-2740 Fmc 224-6134 OVER. TNE-COUNTER PERMS ONLY Tuts appRmftn Is to be used to apply for the follm the prmit. only (d=k all that apply).13 Air CondWai ing l3 Demaftn (rrtt &r Arai) 0 E:teCtrW Alkwatlon (notservko change) 0 Gas tighter D GABi.og 0 Heating Unit ❑ Lawn 5prirtlWer 0 Moblie Home replacement ■ Roofing ❑ Sewrar.Llne . © Photo -voltaic ❑ ventilation 0 Water Heater E3 Water Lute 0 Wood/Peffet Stove (must be EPA card 4 pmMda make, model and manr> aMreo. Cot wim all applkabl0 kftnratton on the applicatlon. Incomplete applicadons will not be accepted. APPI a&n .IM 6 Dbe Ala j Fbruvm* 30h S11W Address (n*&Bv -- value of Gabor, mom, r tom) Ppper�r Owner Nam Addrew state zi Phone pp Kdrtt Name Address CIty/State 71p Phone Con actor tic Address CRY/Scam zip Phone 6 k 4O t, CAabad or CRY of Ftc&mrs Saim -rax # Are you paying tams here or by report? N Here ❑ deport rnrrrr raergiagrerradbya7a aoa� Are you paying wah your trust account? 41 Yes 0 No Is this a rrddentia) or ownmemW project? t9 Residerdai 0 Cornnlardal ly md&nW, is it Q S roe Farrrfiy Detached 17 CondoJO m* me (sbtgle family attached) 13 Oupw 13 M1uWarrtfly (apartrrrM) D Gmage if aormnwdal, is it C awk ❑liter 10 Chtn& 13 E OWIMOW 0 Medir3l office C) Ofilae ❑Retail 0 RAtaurant C10dw (expM) Is ails buU M SO years et! age or more? G Yes & No � `J� � �Y fn axttact' /ilsLn►fc J3 rserva66rr If this Is for a demolition permit;, what year was the btildrrrg wnstrud W? Yp br to 1975, you wh7eeedan a d e-q us amwr, °Rtto ss/dvn�t rani t/�B ap�9®i ri. Desdtptfon of work ' } ! t4 x 'i ; `1n�-ham l r Sn1l oz v- _tA!j]l — *If Wm gxWder/bsddlow p emrftr, must U wed plweber. if brat-&m NCB must rfst Roensed eleariclan. lat'&Wwnpwiyn&WOrOWaft CAW &mw 0 prnnirrr R000fer Od*r I heney admawkdge dot 1 Nape read this and state twat the above infwm tion is MVMt a and a -ma 1 agree to amply with an raz6onents mnWbW hmdn and dty mftm es aril stain taws mWAIMV tx 109 COMMcbm. Y blow that a pwmlk is rrat vaNd mrb7 R ho been paW and lmueel. Appliamb printi+tsrrre. Ct`� C�,�rV�`17�Signatme Date TO/TO 39Vd ONI 9NIdOON QI09 P3TO669OL6 LZ:BI VTOZ/TZ/80