HomeMy WebLinkAbout2825 Eagle Dr - Applications/Furnace - 11/03/2015Nov 03 2015 01:04PM Gary Hooley Heat and Air 9702249198
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Fort Collins
Planning, Development 8t Tranrsportation
281 N. College Ave P.O. Box 580
Fort Collins, CO HOS24
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). 13 Air Conditioning
0 Demolition (interior non-structural) Q Electrical Alteration (not service change) O Gas Lighter Cl Gas Lag
0 Heating Unit 0 Lawn Sprinkler 0 Mobile Home replacement 0 Roofing 0 Sewer Line ❑ Photo -voltaic
G Ventilation O Water Heater ❑ Water lane D Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # S V 7 �� �' pate 1113/2015
roroAyce rase only
Is this a residential or commercial project? M Residential 0 Commercial
If residential, Is it: Lit Single FanVly Detached 0 Condo/townhome (single family attached) IG Duplex
G Multifamily (apartment) G Garage
If°commercial, Is it. C Bank. B Bar C] Church a Hctel/Motel G Medical office 0 Office Q Retail
17 Restaurant G Omer (explain)
Is this building 50 years of age or more? O Yes O No If yes, you may need to contactHistor/c Preservation
If this is for a demollNon permit, what year was the building constructed?
Brprior to 1975, you wV/need an asbestm assessment to submit aYb1 th/s appHcatlon.
Description of work Replace Fumaca
*If lawn sprinkler/bacMiow preventer, must list Ocensed plumber. If first-time A/C, must list Ilcensed electrician.
Subcantrac tors; Ust the company name or My of Ft Collins license #
Electrician Plurnba Mechanical H-1654 Roofer other
I hereby acknowledge that I have read this application and state that the above information Is complete and correct. 1 agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction, I know that a
permit is not valid until'it has been paid and lssued.
Applicant: Shell Swanson
Print Na;,: Y Signature
(pate ) I lal 15