HomeMy WebLinkAbout1445 Redberry Ct - Applications/Air Conditioner - 02/11/2015i.
GI'ty.p'� Planning, Aevelbpriient 8t Transportation
� � ' �� 261 N•. college Ave Box j1 fl
^�,, ._ fort Collins, CO 00521
-- Phone 97t)-11G-7.7,10 faX 7_Zzl-•Ci7.341
" OVER-THE-coUNTER P
RM1TS ONLY
'Phis application ri b io used to app)y for the following permits only (check all that apply). D Air Conditioltiny
�I•Ixxrirlitiun (interior ru�n•:�hilyturral) ❑ F_iectilcal Alteration (not service change) 1-1GasLighter D Gas Log
l7 I-le.,tinra Unit Lt Lrnnni Sprinkler D Mobile I-lalrrci rePhlcentent 17 Roofings Cl Sewer Line 1-J ('bolo -voltaic
0 Ventilation IJ Wati::r i-leater-fJ Water Line n WoodlRellet Starve (must be LI:'A certirier-1, provide mrike, morsel rand
manuGacturer),
Comptelo all a(;plicable information on (tie application. Incomplete aptilirations will not: be accepted.
Application # SI cSW 0 0 2
rbl• 0/%9rh 4s[ aryl.
Job Site Address (ir.•>t,rtnr9ry)
Properl;y Owneor Name Address
Applicrant Nome , Address
Contractor Address
Contractor CILY of I:'I:,~.Ci)illns cares TaX 1l'
S�dns GY.Y !!'f/b�C:' t¢•�gUirn_� LY gill cvgb:rcltu.^,.
fel to Z —I ( — ($'
Value of Cortyl:ru lion labor, rn ferials, pmflt) ~�
City/Mate Zip
' , PI•ione
�G 7 54;�� - dam,?a ;�pf�
City/Stake Z-II Phone
City/State '-11) Phone —
r v %
Are you paying taxes bore or by report? ❑ i Inrc ID Report
Arc YOU paying with your t'rlr5t'•a.rCQi.11il:? Li Yc, 0 No
this a resirlrntlal or c;ornmercial )ro eat, — —�--- -- —
I ) esidential IJ Conimercial — —
[,Its
i'csidenfial, is it: angle hntil' f)el'liche[ Y q CondaJLownhome (sindlr, Family attached L. Muitifmily (apartment) • ❑ Garage . ) I=1 Dlq)lex
If cinnrnerrial, Is. it: 'IJ Curd: Q Bar G Church fJ I•IoteVMotel Cd Mediadl office fl'Officr. ❑Retail
0 Ruslaurant 0 Other (explain) _ ^ . _
is this building .5Q-years of age or more? 0 Yes 17 No IPyes, Jrotr plip1jept'/!o cnrllactlilsh)Irc P/ummiglioq
If this is for a'deiiiolitioti pernilr;, What year was the bLlilclhig constructed?
A1�hriorlv.i3%S� l.cii! hlllrynnNHn a.,Gcls•(os�rss�,r,S•rrrepl(e tiGplltbyi(!r llils�rvp/rr�7livtr: .,—...__,.—.__ .—. --- .—_--.,_
De&cripL'ion of
:1111' I:awn spririlder/baehfinw prevc;nler, roust iLr. licensed plumber. If flrsl: I•II»al A/C, mu.>I list 11rc,l15c ` — -^
Sttbcontraca:o.r•s; (i,^,f 111e•ri,p,h,prrY oaolc Ur 0-11, or!•7 CblNps Ilregsr d� d elprlridmi. --~
r;leceric":m_,_,_•. .. „ __. 'I�h�nibt,r, _ _ ,�,�� ,
Mrr1tanlrrtl,!1./I'tnefel' Other
I hereby �Irknpwledge lhal:;f have read this appliCation mill slate I:hat the aLove information is Cpm Irla ^ _ —
cumply wltli all requirementsc:onLai ned herein and city arilimtices end Stare: laws f
hErniit is r)Ol,Naii I CUi[il. JC iM)s bee I ixil<(�tid issued. f � alltl Cprr;.'fl:, ( agree I.Y)
yulatan4 bl.likll;--.3 corlstl'ura9on, I fuipw thaw
Applicant: