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HomeMy WebLinkAbout1906 Angelo Dr - Applications/Reroof - 12/15/2014planning, Development 8t TramWortatid n City cof _... 281 K College Ave P.O. Box 580 � r*t Ins' Fort Collins, CO 824 '►�`�■.- phone 970-416-274740 Fax 2246134 OVER-THE-COUNTER PERMITS ONLY This applio #ion is to be used to apply for the following permits only (check all that apply). ❑ Air Condi coning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) 0 Gas Lighter C7 Gas boil. 13 Heating Unt 13 Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing 13 Sewer Line 0 Photo-voltal-- O Ventilation 0 Water Heater C7 Water Line [I Wood/Pellet Stave (must be EPA certified, provide make, model and manufactun:r). Complete I-Jl applicable Information on the application. Incomplete appifcatlons will not be acreptetl. Applicatiol # Forofte aw only Owner Applicant #rt—. Address Date j �- Ll— �— Value of Construction (labor, materials, prc fit) $ City/State Zip Phi ►ne Zip - " _ Phitne Zip Ph me I I F , -v taxes here or by report? 0 Here Reg Contractor Glty of Ft. Collins Saes Tax # Are you paying saw awnun-Erism *WbyaAa d= Are you paying with your bust account? ❑Yes No is this a re: identlal or commercial project? Residential ©Commercial If residents: d, Is it; Single Family Detached C] Condojtownhome (single family attached) • 17 Duplex gMultlfamly (apartment) E3 Garage if commercial, is it: O Bank O Bar ❑ Church ❑ Hotel/Motel 0 Medical ofilce ❑ office 13 Retail E] Restaurant 0 other (explain) Is this built' ing 90 years of age or more? O Yes Q No If^ you may need to c.� La d HiStbrk PANVMtb I if this Is for a demolition permit, what year was the building constructed? IfPrbr to .,9.75, )vu w17 naed an as&siuS asusrrrent in submit wide tftfs appOcatfon. _ Descrlptii:idn of work 222 re "y *If lawn spdnklelJbactdiow pmventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: Ld Ift& company name oroW of RCo/DnsIkunse it t7earidan__ — Plumber. Meftnlml Roofer Other I hereby wimowiedge than have read this application and state that the above information is complete andcorreck I agree,b0 toimply wit't adl requirements contained herein and city ordinances and State laws regulating building construction. I lu row that a permit is wt valid untH it has been paid and issued. Prritn Name' inl��Sla na �� _ b0/£0 39Vd 00 9NIA008 d31SVW BLIZLBSOL6 0£:LZ bIOZ/£0/b0