HomeMy WebLinkAbout1006 Shore Pine Ct - Applications/Water Heater - 05/11/201505/11/2015 08:44 9704612413 KAHAR PAGE 01
Planning, Development & Transportation
.a 281 N. College Ave P.O. Box 580
Co. Fort Collins, CO 80524
:.4 10 Phone 970-416-2740 Fax 224 6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check• all that apply). 13 Air Conditioning
❑ Demolition (interior non-structural) El Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
C3 Heating unit ❑ Lawn Sprinkler ❑ Mobile'Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation WWater Heater ❑ Water Line 13 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # 33�0� Date
Aaroffrcl° use only
5-11-15
Job Site Address (requ/red)
Value of Construction (labor, materials, proFlt)
1006 Shorlepiue' Court Fort Collins $2,31.6.36
Property Owner Name Address
City/state Zip Phone
Curt Viehhneyer 1006 shorepine Court _
Applicant Name; Address
City/State Zip Phone 9 0
i
Loveland, CO 461-2412
Contractor tlC►/ MP-37 Address
City/State Zip Phone.970_
Kahar Plumbing & Heating, Tnc.
6772 N. Franklin Avenue 46.1--2412
Contractor City %f R. Collin t Sales Tax # 18874
Are you paying taxes here or by report? ❑ Here R1 Report
5alesraxnumberl�r�u/redbyadmntrscGors
i
Are you paying with your trust account? § Yes ❑ No
Is this a residential or commercial project? ❑ Residential C) Commercial
If residential, Is Ik: 1? Single Family Detached E3 Condo/townhome (single %mliy attached) ❑ Duplex
I Cl Multifamily (apartment) ❑ Garage
If commercial, [slit: ❑ Bank 13 Bar 0 Church 13 Hotel/Motel ❑ Medical office A office ❑ Retail
13 Restaurant ❑ other (explain)
Is this building 5b years of age or more? ❑ Yes C3 No 111M, you may need to contactHistodc Pfewryadon
If this is for a demolition permit, what year was the building constructed?
Ifpn'or to 1975, you wrl/need 817 89hadvs asaessment10 subm/t rvldr this appl/®flon.
Description of work install (2) 40 cral . water heaters
*If lawn sprinkler/backnow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
I hereby acknc
comply with all
permit Is not
L& the mmparryname or atyofFtColllns /k>sSV #
Plumber Mechadcal Roofer Other
e that I have read this application and state that the above Information Is complete and correct I agree to
cements contained herein and city ordinances and state laws regulating building construction. I know that a
until It has been paid and Issued.
Applicant:
Print Name: Signature pate