HomeMy WebLinkAbout4349 Shadowbrooke Ct - Applications/Furnace - 06/30/2015l,y gr�'"+ pp� h.lannin9, UoveI6PnlQIlttir Trahsporlll:1on
"I"F6� '` ;�.0.11i s, 2.81 N, C011090AVe P.O. Dox!iti{)
r, p �r fort C0111ns, CO 00524
Phone 9•l0-116•TJ90 1'Ztx '227 1 •6,1.3,1
OVER-THE-COUNTER PERMITS ONLY
TllIli Ihplictili0n !;; to he uso(I tv apply for, folivwi)y permih; ally (chccic all thel,lpply). LI Air Con(litioninrl
1=1•f_rarnolition (intorior r;pn 7sia'u�turrd) I_1 Fiectlic;il Alter:7Lion (not sr7rvicd Cl h.I C-813 Lighter L:.I ac:cl L_oii
f,.'1 I tc"Iting Unit IJ I'awl7 51arinlder 0 WhIn I'lonle replecernent • 1=1 iZoofing LI Sowem Line I_I f'Plolo-vol talc,
f._I Ventliation f7 W;ll;r�r I;lerd'nr C;I Walcll'.I,.he 0 VG)od/I'nllot Stove (Inus1 00 i':I:'A cf,rli(Ierl,,l:,rc)vi('k: In ltc:, Ilxxfetl I:Irld
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Conlpfetel all ..lupl--icc4ble inPorlrladoCn on tho apDlic.4011. Iticolnpiot0-imilic.ations will not b(t neccutall:
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nrt�IN) anit)
r Address
Contractor
Contrictor City, of 1=t1.(;ollins 5,11es T,'lx $R
5>rk1^ ln•Y7air7ll rr lr qN �nd Ilk Of/ CW1(.rclr)m
Del I:e
Value of cart • ,rucl:ial (Ilbor, lrrll:erlair,
PI'lon
c;ily/StaLe
Phone
City/Sttttl3
• , — If' Phone
Are you paying taxes [)pro Or by rnport•? Cl i•Ie.rre
Are YOUpaying with your trust: arCoi.tltl'?' - 1'r:.::r CI tl0
IS this a r<Isi<Iranflal pl' Cr project? '' _ hlenlaral r7 Conintc rciai"___�__,._._.—_,.__ .___.,._.._•,.
Jr is lL't inylr: Family Detactell I� Conr10/Lownhotnc sin(le fdmfl (itl:�7ri'ied i� MU10fanllly (apartment , ( J y ) I.::I f7ui'tic:k
If COItt11lo'clal i� it: 1, I I?unk Cl BZII' G Church 1 lotra9r
f ID I.trgsUILIRMt LJ OLhel' c+ /Mold Q MedIrdl officEa Ci'r.)ffice Ci }telall
is this bulldtrlg.S'p yn•.ar+t of° age Or 1110M? (xplain) --
9' L'] Yas I=1 Na '>F)�s; yulr;rn7yJ16'Evj ('O CA/7t,7CP!/%;inns vJtu�rlr7(riir7
tIll!; la 1pl• 7,,r1't;ni01ita0ci y7enniL, what' yr �r was the hlllldiny Conslrur,Led?
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1 1 a .�rJGlr7rNl.r,il.•I7 tliir apnl/cr7(•in/7. - Description of of woi•I<.
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I'Tf IaWll april.ilder/b elcllovr �revr:ntcl', n»lslt Ilst IiCellsr(i P1lrnitlLr^Sr I'II:;C-l'1111C A/(:, InU L' ILaI' Ilcrnserl
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