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Home My WebLink About2214 Puma Pl - Applications/Reroof - 03/25/2015From Affordable Roofing Inc 1.970.207.0289 Wed Mar 25 13:55:05 2015 MDT Page 2 of 2 ipyy,�r�© Planning, Development & Transnorta_ion For l CoHo1Zs Fort N. Collins,College 80 ?.t7. i3ox 580 6 � For tii2, co $o;2z; Phone 970-416-2740 Fax 224-613 OVERC"THE-COU TE PERM111POS 0NlWaY This application is to be used to apply for the following permits only (check atithat apply). Ct Air Condiaonino .2 Demoiition . "interior non-structural) ❑ Electrical AlterG ion (not service change) El Gas Lighter :J Gas Log t Healing Unit l auvn Sprinkler R Mobile Home replacamani ❑ Roofing Sewer Line ❑ Ahoto-vol.aic ma enfii icon r- VJ�ttar Heatar f .; 'slater Lins t7 lNoodiAeifet Sieve (must be EPA ceconeo• Provide tnake, mad i and rComplete all applicable information on the application. Incomplete applications will not be accepted. AapiEcacion 3I5O I q 0 ( Date F) rate orrice we only ---- 30 Site Acitirt355 (n ufrart) V�Iue of Construction Or,bor, niaMriais, profit) 1-: i -r�ropar'i,l tOwner Name Address Ci`Y,`5tace Zip '-- abase '`�•' ' �'li tt c..). L. �' �'' f...J f'i i{,,, ..t'..-7 it •f l Applicant Flame Address Ci {,t5tate �,, s1 nn ^ Phone a-7 Address c h,i SiG ? - 7- Ip Phone Contracipr Cit�J of Ft. Collins Sales Tak u — - -' -- - Guar �,r.ratm�r is n�u%r-CGy ax mn6-actar � - - - -- `- Ar.. you paying with your ,rust account? Yes i0 No is thin a rasidentiai or corninercial Project-1 — - iF re sidendal, i5 it: T esidentai, c7 Cor< n (rrag �Singie Family Detached 0 Condo M%1nhoma sin a Family a iacyed} 11 Duplex lrc"Jr6meTial, is it: CJ Bank 0 Bar. Ll Cnu cis C 401eiJMo el ID Medical orice ❑ Ufilaa L Re, ait 0Restaurant C Omer (exlAalnl istins buHGirig gp years o age or more? 0 Yes Cl N_ u T`yes, you rnaynead to contact• Historic ary nQn y�is is. Far a demotitlon permit, w'rat year eras the building ronscrocie Si`A,-ta; to 1975, you vel ne d an 1xsb=tQ.5 czss'e.T,-ment %D gibmit vAth this application. ---- _. U 5r i-Odrin of Afork Pay +r ea'nn spr nkierlbaclolow crrever?ter, must list iiMnsed plumber. if rirs tune AIC, must li licensed electrician. Swbeantrat=rs: itsrrnzcnmaarry.Ramanrrlh ef,GCoUinsl asr M2chantcel wa`a: ��i 5e D'cher �reoy acrncl+tedgs !hat S have read taus application and state that the above information is complete and d ccrr`d• i agrye ;o - t::rniy s;'i all c equirements contained herein and city ordinances and state laws regulating building construction. I know that a i crmit la not valid until It has been paid and issued. t'rint Signature_-.__ %"ht' r` .