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Home My WebLink About725 Blue Mountain Dr - Applications/Reroof - 10/29/2014From Affordable Roofing Inc 1.970.207.0289 Tue Oct 7 10:19:53 2014 MST Page 2 of 2 Planning, D®vetopmernt &.Tra mpvttabon 77 1 K. C:o>klga Ave R.Q. 8ez 585 F- t Cail{ns. CO SC5 4 PMn'e Sis-`115-1i4G '�: 2:�•4-=`� OVER-THE-COUNTER PERMITS ONLY Phis applicAtJ611 IS t0 1)C rued taapPylor the tollor lsig pamuts only (chock all that apply), C3 Air t:an6?io.^.ina v ,:remu tLn (irlerior etv,:.it u:Xcaa;t Cd Electrical Aheraggn (.;c` s Me cs ch2n-ue) D. Sas Lighter 0 GD's Lag i:i Hesiim l nd C7 t cwi) £juink!ei' C %gpU4e. !lame rrapirx:enteut 0 Rooiincl D Sewer Line £:: Fhatu•vvl;yFt• C: Venliiultou C Water Heater C 'Waksr I_ns P. Wo:sd,'Peilet $.oa.2 (must bz Ep;> CcnifkA. pro%lda maze. trooel oaQ manutacvrer,. Complete all applicableintoanatii�on�o�n (the iWIAlcaiion- incamPlnta�ar. Pijltatlarta valit noT.. he /ae�nept.n,•[ Appl{caT�or »! 1 1 O V I (� O Js t? 1 O �� -1 �r ---------- f:N . CC%�j• rob'$1te Atidress (rc=lraro Value of Construction {tabor; materials' pfa -) prnper,V ilwnn. N?mm� Arirse_s Gty',sta:e Zip phone Ap71eCdt:'.:Jam? - IArd,9ress Crty;'State zM Pltcrlc ��;; G•:nrrs:.•::ar ...1 A.o:.ress -CdpYstAte Zit± p!1^rle ......— ....................._._...-..._..�._.._........_... ._ Ccrrv-hsr C+ky of Ft Coilirs SaksTas s �. 1 Sa.+� ca•nr.+nLw.rr �R�+' 7.[%}' un'f�:��:�^.. lirE YaU p7rifinQ 4'JIGS g17UC truwt accu:snt7 •'1 �cs 0 No --------- t _.... ... -- �................------------------------ %i ti:tfr a rsirt�;tral Ca- CU,T,rri@tX:� aUi9"'7 ..� rv�51•tP.nttal C i:Cmmr�i �1 I' res:C l;al, ii: ��5tngle gamily retaGixr © Careycgv* ticme (:Jnok, f-vmlly ettactled} ❑ Crup*c G r�lultiiamna; 4 pattrtu)ntl G Ca2ge it comttla:ciai, is i; � ;_i Wk.' G ft- ❑ LIturtl L:: an1W I'Mnte: C t cdLul o!iir,: 0 G:mcc C RCB:i 01 Reshrrrusi: ❑ CtheF (e<pfa;n) __._........ ...� is c:,i. :Ir�irg 90 years Of agx �_r Wrxe? _i Yi:s :.i no .!;':•rs, to oza:;.a' Lv-' . Fi Servor/as t,' crds i- ror 1- demouijon permit. rcllar year oeas n`}e bulLfln4 corsuacLrf? ........................ ......---... ir'j.'jr_1^zti 29i1, L-r:: w+k'r1Nar1do est;wm as.'Ls:.rn-rr to r;rkh o:ls D-^scri.a on or Work "rl?p::r,S•r:nidPrihn6maw pMaltCr. nulat Ur, 1iCimwd 1%tuln1.1Cr. 11 T1I$14:rMe AjL1rr*ast R5t!-,LnR\'1 r::-u k?8n, Svbco ntraeron: Li:PNe arrgti9nN ham_ CY Cr."y v-Frkmm;-N �y ....-a . ......... olariGa: Me.T.arunl....,,. Roorer.•.L4nut;[-- i `»er1;t^}'srkwwlydaa dtst 1 lave rand tra am'inutkm an^ state that the dial\O VIianlatiun Ms - mplete and to:rCCt. 1 :ara¢A in C.7T. JtiA' :+ �: rtruirus�:irs wntasw.i halti;ln ano orr ar}i-mnr±ts erne rate, bias rnaulatmg. buFld;n®: a19ne'i+��. I knout thata Irennik is nut valid until It ht been paid and )f Und. kppilcant: �i'Yint i`lgmn:._. T`1' �t51\h t2).Wt~�sig nstUre -mwr-'