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HomeMy WebLinkAbout827 Roma Valley Dr - Applications/Reroof - 08/07/2015Planningi, Development &'6�.sr—:cation 281 N. Coiiege Ave P.O. Box 580 Foort rt , CO 80524 Phone 97a"r416-2740 Pax 224-6136. -THEmCr®U T PERIMITS ONLY $l_n is to be used to apply For the following permits only (check all that apply). 13 Air CC;orcitioM'g _ _ e:......_."Miterio, non-structural) C Electrical Alteration (not service change) 0 Gas Lighter 0 Gas Lcg - .. '_at+n Sprinkier 0 Mobile Hom2 replacement X Roofing 0 Sewer Line 13 Photo-".101MC :'later Heater ❑'Water II :,e 0 Wood/Pellet Stove (must be EPA certified, provide make, modiei cabie inftSrmation on the application. incomplete ap.ciications wa ili not be acceo-aC. Date 9 j .-) c•, o c- use only Si g r3ss (required) Vance a- C@..Wtr on (labor, matenais, prat) art.:.- user Name (1 Ccress City/ate zip L � V J` LUCLK Z; 0_`2DLto ss)+ne r; _ CoLtaws Co _ 845�5 °1)o a8a- O&SO Address Cfi//Sta`ze Zip phCne _- Acdres(s` City/State [ Zip P-o,le .- -i .-•�- =i.. Collin Sales Tax •#r. :ice • � �; ' ,-:-, -r"� _ .':._'J•IE'j t°7j�d.'/CGrJtl3�ls. Are you paying taxas here or by report? E Here D Report Are you paying wilt your !rust amount? 9 Yes 0 r,,o _.: _.._ a :ast . r=mme<cal project? E Residential 13Commerdai i"Z Single Family DetaGee © Condo/townhome (single family attached) 0 Dupiex Multifamily (apaitmem . L Damp Z. s ii:_ D Ean ' Bar 12 rCliurch LI Hotel/mote! 0 Medical of cL[3 Office 0 Retail G Restaurant t`3 Obner (e)p?aln) :s _ ss ,x:iieir:g Sttears or are or more? �' '±es ! hio Ifyzs, yaurrraynaed to mr. ctHis!aricPresa�va7on _. = :s i5 -a. a depnoiitfori pay$, what year was the bunwing csri7ucted? . r ou wili'r,-4adan asbestos assassx; it to su?.a1it rviih tns ap /i® cn. •terfca, ovy ,revente; nIL-A Iist ii caned ¢lumber. if first-&M AfC, must l Let iimnsed. e.le&kdan. :. s sa _t: e c�rriparrynanM off'rrj aFFI Gbl/%rsFCarm 0 - r _. Plumber Mechanica rtoa%r 2- ' S f 0 it' <er > have rend tttu- appal tat a74 state Lhat tl'ie above inftxcnation is cemp e'er and cAzr w :agree v.u;rements contained herein and dty oitlinarces and state taros regsiating building construction. g Isnow ..... s� _ - _. H it itw been paid and _. _a�-�:ta"�- �•�5 4�� �`:_ ��r�E.` mpn-�'193Prqj L'ekl\_