HomeMy WebLinkAbout2725 Antelope Rd - Applications/Water Heater - 06/25/2015city of i'I�uning, 1]eveloplil(Mit �'I'ransi)ortttCion
7,21. M. Cnllegr;? Me P.U. 13cx Stl()
1=01-1: Collins, CO f10 2,t
tri,one 970-'•11G-2'7g0 f IX 27_1I-6:1.3-:1.
O'VER- '•HE.^Cf�UNTER PERMITS ONLY
1'hfs applie"Iti0rl• is to I)R used to :Apply for ilia following permit, noly (r.11eci( all I1'Irtl apply). l_I Air C•ondilioniny
0•17kimolition (il�lerior nnn•sirrl}:G.u,al) u 1=lcrhicsd Alterition (not service cheretFje) ❑ Gas Lighter 17 Ges t_prl
L7 FI(--N)H11:i Unit I-1 1.,mvn1 Sprinider 0 Mdbile l••lorrm replarerlxsnl 17 Roofing 0 Sewer U110 L) I'hok.)-voll-mir,
I.I Ventilation L';i VVlsr(c.r FB,Latel I 1 VV�tc:r.l.ine IJ VWai/f-'ellet Stove (nxinl: be 1HPA cei tificcl„pr0vidr,-) rrrtice, nt0dr l and
conu)le:tc nil apnl([:able. information on the a[)nlication. Inconwlet0 apolicl.Ltivns will ,top be accel)tud:
ApPliceli:ion ./f• S(7� i �(� U S
Job Si Le Adcluia-s (rrnr&,;^q) ValucS of Cons(:ruction labor, matrrtal; profit) ^ ~
-'fir?a�� Address ----
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- Jt 4n-b-1170eA
nl: NdnTl3 ---..— AddrL:S :' o
Contractor
Coll track r City Of l't; Collins Sales'I',lx 1P.
Srrlarr (.u; rfr�n;Ggy; I Sr Pn, Wir(l, GY'all , �,rlfrafc4as
Zip Phone
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City/State 1i
'I!? Phone
Are you paying taxes 11(li'v or by report' 0 f cl'e� I .1 ltc.p0rl;
Are you payj%.j Vrlt'll your IXUv t' a,rcoilnt?' CJ )'es I_l e
to this a rosiderd;i(:il or� cy+�n�lnerci al
JP resirlerlpial, i:. it: • dingle: (anlily Detachcxl . IJ Conr-lo/p0wnhnmr3 (single family atl;achod) h I Duplex
G Mu!(:(fan'iily (apartment) (a Garage '
If canunercial, i:> it: T� i.3Un1c C 1 Wsl' Cl Churd) 11 1'Inl:el/Mutel Ca Medical pfflCC L.I O((lcc l-1 Itet�til L"J ttQStelUmnt CI Other (explain)
Ic l'hti bullding 50•ye(11-z. Ofa gn Or more? 1:1 Yes I No !FJ[�})0(llr(.(ypr?et/(n r,��11(�7r,1 iy(,S()NCIr'isser[+r3(iDll
ll'thlis i5 for %t'clGhiolitir)n permit, what year was the building ccnsrructed? _�•_ _ '__
1!f7���%!9/'1rlS;fiSSr114'(7C'COS'UGr17/1'lPI(�7 (ljlSrJnhi!(rf('!Up•.
1•)r_scription of woj•IK-1-19fI�71
il' lalwn sprin(iiclyl)azk('luw pl'L'.vollte- mull' list 11Clt50d Tit unll)er. If first•llrne: A/C, Inusl' Ila li(:c,ls^d—,.—
SubCOntrael:u,, 1,igt,C1,7C,r'•Oihp�'ri,NI7rN]rC�oh[Y(1.gFFr(['�hlps/irYpgSta.�F
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): 1liplyy itticnawlrgt;;e l "TIt I hljv0 re,rl Phis epfdia-Iti0n and stage that the 71mve info,m[Ition is complete nn(1 c r —
:onytly vritlt all rnqu ^en01c:nl:s; contrtlned herein and cityordinUtre alld ,;tL,.� laws re9ldahnc 1)uildlaa rarlsl?'uc; —y— —
pmrttiit is n0j:'V[a(td Lutl:il, it tt'ns lmt0n n.,irt :. ' 0.,..r,L I Enp'ec I'o
end (ss[taLl. J thin. S latow Lh;t a
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