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HomeMy WebLinkAbout2924 Eindborough Dr - Applications/Reroof - 07/21/2015From Affordable Roofing Inc 1.970.207.0289 Thu Jul 16 12:50:39 2015 MDT Page 2 of 2 tv of IF C Planning, Development & Transportation 281 N. College Ave P.O. Sox S9C Fort Colli-L, CO 80P_- Phone 970-416-2740 : ax 224-6134. OVER-T6''E-�AwUl�T PERMPTS ONLY This application is to be used to apply ror thefolloviring permlis only (check all that apply). Q Air Conditioning 0 Oamolition (interior non-structural) El Electrical Alteration (not sarvice change) ❑ Gas Lighter r"i Gas Log i � E'eatino Unit 0 Lawn Sprinkler tD Mobile Nome replacement 11 Rooting ❑ Sewer Line Ci Phoiookoitai; I i Ventilation a Water Heater ❑ 1PI ter Line rJ lVoodlPellet Stove (must be FPA certified, provide make, nrodai ant rnantri2rtu2r?. Complete all applicable. Information on the application. Incomplete applications V-jiti not be accepted. A.P.-Mcat.ioil =,' T3 1565g0 Date 7-Z(- IS For once u:e only yob Este Address (req yjred) — - - — ^ l! rue of Construction. (labor, materials, praFjL) i ?:MDSrW Owner Name Address City/Hate zip s None i �`'i r`.•t�`>t;1 ; �-����`!{. �i�1 I �(`A1��``� L�••rj "i7���_IjipLj applicant A;ame Address City/Slate /Slate Zip Phone i i h o (I ..__. z:� �� t!—Ct r� ► s �.a a? ri LJ L'CM%Fb CU ..% Address Cont, Ector r.It/ OT Ft. L'oliirs Sales iv,� ; ._.,__ x rur„ba 6;' ri ue fired by a9 connobr Are yoL paying with your trust: accaunt2 'Yes 0 No � : r sidertial Gr commercial Project? �esiderrdal u Commercial — - - 'P -a=tCcl rat, is it: �Sinalc Family Detached 0 Cond0fio viihome (single family atMched) 0 Duplex Mutti mmily (spar rnent:) rl Garage s Corrmz: vial, Is 1I. 0 32n< 0 -bar C1 Church 0 Hotel/Motel U Meeical office G Or'Si ce L_� Retail i !i 1 ?es;aurant 13 Other (explaln)-----'---. 15 this building EC• years of age or morn? 0 Yrs 0 No li`yes, you maynszd to c0oi0Ct Hist0nCA1eseruation ^is is rcr a demolition per_-mit, wi att year was the building constructe@? .:or u _ 7 , you wili nor! an asbestos ass-e-zmenr ro submit VJl`h Zhf5 , ,pplicaffon. i +?rin!ci lbaccr, prevent_r. r!msi fist ifrar<ed o4urber. re if:_ subcorrirrors:U a7zmma;nynameof-Gr/ofFtCollins lcerzs� I— watkni3l_--.^.— Rao 2? -M59 Other_ n ere:y acmowledge th&...! have read this appli©iron and state that the above information is cornplein and correct. ? ag- to j a ir?il whh all r=quimnlenG contalned herein and City ordinances and sate laws regulating building consirvc 'on. _ know that a as nit is not alid until it has been paid and issued. nine !flame: 1 r r_ i_ — ylm r' i%, c, 9 Slgnature� /.�r� ` / r i r� 1,