HomeMy WebLinkAbout2421 Rock Creek Dr - Applications/Reroof - 11/19/2014From Affordable Roofing Inc 1.970.207.0289 Wed Nov 19 08:27:23 2014 MST Page 2 of 2
Planning, Development 13 Tranrsportation
261 R. CeRefe Ave P.O. MX 53C
=erl !'allfrs, CO aZz.,
FtilUl< 5?1�? 5-27 �g FE;�( 22R-SIc9
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to aPPIY ton the folkwing parmhe only (cheek all that apply). U AfrZ-111d&='1g
L. L)em.^.�j;oR (immot ncc..-sui ctv; an ❑ Electrical Akeretinn (not sertice change) ❑ Gas! fighter C Gas Loa
G HeaLrj Unit G. Lerrr $prinbit::' D [ACtfdha >&*nr. +cp:ac_ineM D lloa`ng C! Sewcr Linc ❑ s'aotC-Yeltaic
—VantiiaGCM1 II'hratar Y•aalta' �VJaiet L6:t (.'. VVpxrAeilet£t0ve(,rast be FPA=ert:tif,arwGde na't:. m.dnl nnn
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Cottrelete all applicahta Information onttha aapplication. Incall OlCie appllGaUanK Will not be accepted.
APPOCa:ion
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Sob Site Addreos (r0 W,u c l Value of Construction ib wr', materials, pruR)
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ph-ane q-(rj
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717 \lane
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Ccnva4,rr. Gtv of F, Co!!1rs Saks Tax+ .._I
., • .rcmrx.-is2.^tc�NL'r' aa:mc-.+mom are Yon wylny with youe aLs: zcwat? 0Y0 0No
is "n a re5lderaki• :.^. mmmarr................
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rr t'LaCsitl=( IY it: �iT3lrolo Fn:itl'rj IXie'.irrU ❑ Cvndv,ZQwrnasro [;>clgl,: hmiN attatiKp; C 77up1�
LJ M• Mltarrfzy (aparwmwr) G Carage
y ^anmxnai, m:i: i.l Hanx ❑ sar 1:3 QNk'ri: Yn te(/thecel G t ditai afnte 11 Ottke ❑ Ret6:
i 0 Re#aurent 'J Othe Owlalr„ _
(y tin+ hcGdina 5g gears of ago x mvn:' i:! Yc5 t7 Np rf r•es; YJa: nkn'.'hYY! U •'YI(Y..: 1G:rc.ri' zie2vvwpa,
j !e Cn,; or a demolition Pe+mit, What v:ar was the cmn ---teoT_ ... .--___.._.....
Si: ar L, `, c V WNY need On n&' ' 1 :::-Slesn-'nt to S,;mm` w!M Si: a`Ywvcdobn,
v..o.pann of work ,Z�,>r a C.n. A. r _,�14'� - rill _.....—,
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"`ii lewn;pnnUcriMr'Irw lvevm':r, maL [i II.-ern4 ;., plwii.h^-r itn:sr ;rme gr;,;,:uxttC[Ik.na'=J ekdA-'ice:.
ipr><ontractwa= txr tree la:•ryrony nsnx a-C.:Y n!Ft r]>5.':rri,inmse s
other 1.
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-:rsL•i erin:r+:led)e drab heve reed lists rip!ilt:slo. era! sLrte tlwk the airnve a:£orfnitam ly Oro, and oa A. I agree to
:.1.14\' ;to 38 nCa:dlah ems CO :l'3Anea : W.'ern 8rA1 fY•.. :T..11M1an('e5 and late ldwi re'jWjtutg budding fnrttntLtloh. 1 know that a
eermlt iG not v+lid ..01 A ham been pald and I=U*11.
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