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HomeMy WebLinkAbout807 Maxwell Ct - Applications/Reroof - 03/25/201503-25-'15 12:40 FROM -Premier Roofing 9704848308 T-297 P0006/0006 F-592 planning, Development & Transportation Cat Of 281 N. College Ave P.O. Box 560 F�f t Colons Fort Collins, Co 80524 Phone 970-416-2740 Fax 224.6I34 OVER-THSCOU TER PERMITS ONLY This application is to be used to apply for the following permits only (Check ail that apply). 13 Air Conditioning 0 Demolition (interior non•struc&al) ❑ 8lectrieat Alteration (not service change) 13 Gas Lighter ❑ Gas Log 13 HeaOng Unit 0 Lawn Sprinkler 13 Mobile Home replacement 17 Roofing 0 Sewer Line 0 Photo-voltatc d Ventilation 0 Water Heater CI Water Line 0 Wood/Pellet stove (must be SPA certified, provide make. model and manufacturer). Complete all applicable information on the application. ineomplate applications win not be accepted. ApplICetion #_ �bo Q _ rerexce use only Property Owner Name Applicant Name ��Address Address Address r= Ma Contractor City of R. Co1119 Sales Tax # 371es Is r4ufred bya1i aondvctonz Date Value oConstruction_ (labor,Omaterlah, profit) city/state Tip Phone City/State Zip Phone City/State Zip _Phone ArJVo u paying taxes here or by report? tie 0 Report Are you paying with your trust account? 0 yes ' 0 No Is this a residential or collweTclall project? C9'sidendal 0 Commercial If. residential, is it. Mingle Family Detached ❑ Condo/townhome (single fatuity attached) © Duplex 13 Multifamily (apartment) 13 Garage If commerelal, is it; CI Bank 0 Bar O Church 13 Hotel/Nlotel 17 Medical office 0 Office 01 Retail a Restaurant 13 Other (explain) Is this building SO years of age ar more? CI Yee 1PYe you mayneed to contacrHisMrlcPservadon If this is for a demolition permit, what year was the building constructed? .VpNorto 1075, you K#/n&W an asbeatosaa s menttbsubmft wo thisagpllcatlpn. *If lawn sprinkler/baddlow preventer, must list licensed plumber. If first�tfine A/C, must listlkensed electddan. Subcontractors: 1. OO gpnrpanyname orcitypfA`Lbllin5 dce3ll5e +� Se'Mlden MechanicalOther. I hereby acknowledge that I have read this application and state that the above Information Iscomplete and correct, I agree to prmlt s not valid requirements until it has contained herein d end issued. oTdmances and state laws regulating Wiring construction. t knowthat a Applicant: i, Signature Rote_ 03 ~� IS Paint Name