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HomeMy WebLinkAbout1476 Edgewood Ct - Applications/Reroof - 06/03/2015JUN-3-2015 10:19 FROM:CEDRR CREST ROOFING 970 669 6152 TO:2246134 P.1/1 Ckycyf { Pl$mdn& D6v0l4patan# & TMngMt'bdian 281 N. Lbw Ave P.O. Banc Sao (:WM OD M4 Phone 970-416-2740 Fax 2246134 OVER -THE- -OUN'T'ER PERMITS ONLY Thb to to be and ito apply for Vw fc8awblg parmh. only (oheok ail UM wppiy), o Air Condftft f] Dtnolif l (ice nw"lilft" O E w*icel Atareton (Trot mmn*s dhangej ® Qw Ughter © Gas lap E3 Heating Unk 13 Lawn apr6ow L7 Mob& Homo mpbwmeM ■p4ofing13 Sewer Line O Phob vaft®io CI Vengatlon LD Wder Heater Cl Water Lbw 17 Woo&peUst &ovg (must be EPA certified pmufde make, model end manufaCt�arer)- Oompfe:ball bomod" oe rite bw mP#ere Mpgamtkwo wig not be w wnftd. Appetcadw P (5() H l vane A3rakeLwvfW 3ftb Sft Address r vaitm of cos�clabar, mom, /�%� 'eDGB ruJorse cr Joe-, poM Property owner Name Addnass C1tY/Mft Zip Phone Appikant Nam Addmss city/aza ZIP phone Contrector LIC 9 "' a i7wdJ' GE009je tr 6sr �Y/ �A Phone 09 Si a 4 If. for iI CmbactOr C ILY of Ft, CdOm Sates Tax # AID yogi paong taxes here or by mpoW ® Here Ci Report rrer bmpretiyry.�� Are you Pa!'tr9 with your trust ago mgd4 a Yes O No Is tfds a restdenw or epmmardW ? ReydentW 13 Corrsmerdal Df madenW. is b r, ShVIC Farrdfy Detadwd ® cwwWoownlwrne (dnp fkmUy atta WA) O Duplac 40- © Mum (Aw�t� 13 Garage If onntrrrer K is it: D Bank 0 Bar i] C htM 1] HOWNOW ® Medf of ottioe ® offbe • 0 Reta11 © Restwz= ® Other (eXpjWn) Is thisbWMM9 so pr or ape or more? Q Yres f9 Pro Day �aunrnYne ita canaeatf irie i If this to for a d=uoMon pwnnit; what year ww the tx WMg ed7 .`'Pd2rtv1974Nw Readana &9XtM aMMMMta MWO MMY&4wftwm KIr fawn PrOwnter, must Ust ftMmd P mrber: ff first tlma AX must Mj ftroed dlctrt rn, � LlSttliieriycar[Ayad'fPQ�s�IWf,� � GA/P.� '. Ptenter Rader I hcreby du t I have teem vo agpOMM and state tfrst the dwie fnfmnmdM as wmpkAB and wnect I agea to 00MOV wbf aU req wrubled hereto and dty ardfnumm and stele laws mmdalkv i amsbuttfon. x brow tier a PM Ildt b not %MM ud81 it has bean pdd and fineea