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HomeMy WebLinkAbout2532 Dallas Creek Ct - Applications/Reroof - 02/10/2015Feb 09 1510:54a Tony 1-970-669-5999 p.5 This application is to bE 13 Demolition (interior not 0 Heating Unit ❑ Lawn 0 Ventilation ❑ Water H manufacturer). Complete all applicable Appiicabon # d/ I For office Planning, Development&Transportation 281 N. College Ave P.O. Sox 580 Fort Collins, CO 80524 Phone g70-416-2740 Fax 224-6134 -THE-COUNTED PER MUMS ONE used to apply for the following permits only (check all that apply). O Air Conditioning -structural) ❑ Electrical'PAeratidn (not service change) ❑ Gas Lighter 0 Gas Log sprinkler D Mobile Home replacement ❑ Roofing 0 Sewer Line ❑ Photo -voltaic aster ❑ Water Line 0 Wood/Peliet Stove (must bye EPA certified, provide make, model and information on the application. Incomplete applications will not be accepted. e only Date o2. 10.1:r 'jab Site Address (requi dj Value of Co uEction (labob materials, profit) �T. Sao °Oo gres Address Gty/State I'f (p a to - 9 ,}4 - 2 g� rrj P operty Owner Name Vr3 r1 r t. An m lA plicant Name Address City/State Zi Phone 4A n-# hon ©--hlPm a70- & -t0q,7 Contractor Address City/State rp Phone � ►�1- - n�rK oohri 00- D IU_ Lincoln Ave. la LV Contractor City of Ft. Coll -alestax nL&nberb;requftWb ns sales Ta afJccnrradam # Are you paying with your trust account? e5 ❑ No Is this a residential or com mercial project? V'Residential i7 Commercial - If residential, is it )�'SlngleFamliy Detached 0 Condo/townhome (single family attached) ❑ Duplex ❑ Mjiltifamily (apartment) ❑ Garage If commercial, is it: ❑ nk ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office © Retail ❑ RE staurant ❑ Other (explain) Is this building 5o years of age or more? O Yes ❑ No If yes, you may need to contact Ifistorlc Preservation If this is for a demolitionj permit, what year was the building constructed? If prior to 1975, you wiif n ed an asbestos assessment to submit ivib� this application. Of *If lawnsprinkler/back low subcontractors•. List the c I hereby acknowledge that comply with all requiremen permit is not valid until Applicant: Print Nam must list licensed plumber. If first-time A/C, must list licensed electrician. name or city of Ft collIns Acense 9 Plumber Mechanical Roofer Other have read this application and state that the above information is complete and correct i agree to contained herein and city ordinances and state laws regulating building construction. i know that a has been paid and issued. a? /o, Sign Date