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HomeMy WebLinkAbout7245 Fort Morgan Dr - Applications/Water Heater - 03/02/2016Mar 0216 08:16a Swan Heating and Air 970-613-0826 p.1 C'�ty of rt Collins Planning, Development & Transportation 281 N. College Ave. P.O. Box 580 Fort Collins, CO 80524 Phone 97D-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). ❑ Air Conditioning ❑ Demolition (interior nonstructural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter © Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line 0 Photo -voltaic ❑ Ventilation )I Water Heater ❑ Water Line ❑ WoodfPellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. incomplete applications will not be accepted. Application # bl Q011 15 Date Fordrite use only 30ff Site Add WN Erequ/W Value of Consbrutrtion (labor, materials, protrt) O i - I "Property Owner Name Address city/state Zip Phone Dr- nSc 025 40-41LO- Applicant Name Address City/state Zip Phone Contractor Address Gty/State Zip Phone �r q i - Contractor City of Ft Collins Sales Tax # Are you paying taxes here or by report? 04ere ❑ Report SaleshwnumberisrwuiWAva#cnv*acfnrs. Are you paying with your trust account? tWe—s ❑ No Is this a residential or cpmmercial project? 121eesidential 13 Commercial If residential, is it. © Single Family Detached Q Condo/townhome (single family attached) ❑ Duplex 0 Multifamily (apartment) 13 Garage If commercial, is it: ❑ Bank EI Bar ® Church 0 HotelfMotel ❑ Medical office 0 Office 0 Retail E1 Restaurant © Other (explai Is this building 50 years of age or more? O Yes No Ifyes, )-numay need to conlactHisWF cPresenrabon If this is for a demolition permit, what year was the building constructed? Ypnor to 1975, you will need an asbestos assessment to subndt with this apphz2hohx Description of work *If lawn sonlder/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractor- List Me aompanyname orOtyoFFtColtirrslicense � BeCtidan Plumber Mechanical Roofer Other I hereby adcnowledge that I have read this application and state that the above information is complete and correct. I agree to damply 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. ..oil WEERR�■r�►�► -