HomeMy WebLinkAbout2413 Purdue Cir - Applications/Reroof - 04/26/2016From Affordable Roofing Inc 1.970.207.0289 Mon Apr 25 15:33:12 2016 MDT Page 2 of 2
Planning, ppTStrisporcn
07ty of 281 m. College Ave P.O. BOX 58C;
r} Collins Ford Collins. CO
4 Vnof,.e 974-416-274027�0 fax 224-5 ±31;
i )rig application is•trz be used to apply for the.ibilowing perm i s only (oheck all that apply). 0 Air Conditioning
G CemoVion {interior non-structural Q Elecbbical Moreton (not service change) � C�as Lighter, 0 Gas Log
lic-2iing Us?i: 0 awn Spren`�far a tlitobiie Home replacement 0 Roofing Q r Line G PhOto voltaic
venvlaUan � + VVCar Haab C Water tame 0 WoadlPeils: StO M (mustbr EPA cetv'iled, omvide 7n2ke, model bird
m3rsu�aciu=�rp.
Complete all sppllCable iDiot7t1aUm on the aaf3licatialy_ InCOMPlets aaplicatiorrs >uifi not be aGceptee.
l pkadOn _ 11oDa Dare ' a • I (G _ -
ForOmce use only
3ab Site 1�tit]FE`ss iriao&red) value o[ �anstrrsriiort (isdar, n. Werlals, prw-k)
4 ?ror l Owner- Name Address CF��+15'cate 7_sp done
n��,=(icMtli itivme`` (} Aae�ss t al
CFLY/Sme c`ip�+� Phone q-7 (a '
Lo n t ! o, {�G --- T� )5A5 007 o(D n
Cah`;� of J Address �`1Sr�� tip Phone
Ca n <; `ctur 0-of or Ft Collins Sales ; ax " :
Y,� r r,,:r, b.:ria rwurrdtr l oo�e�nr ;;re �foL paying wiiii� your tnisc accouni? `; e s 0NO
this a :mid_dual oi'tsmr,11-n;rria! PiCgeE 7- -9 z- V Bt S � >~n,TitTtercl�t
': iF r4:;ceni3Qi, is ft.-�S"inG(e rarltilY l3 rh ED Caridalfu:vrihome (single iarnify a c.`ieo) Q Duplex
Q By (anarrria t) 0 Came
,, m;;ie-ciei, is is II 3anr, Q Bar Q Church ❑ Hdbelf ntel t7 vterircal 0 C3 Orire 1='i Eteiali
P,�urilt C Omer (cacplair) i
is this bullding 50 years or age or mare? a Yes' Ct No y=. yrru n. arne2d s to�i�d/iistotlCAr�ary iiat�
j it its s ;ter a errs;itiaa permit, wb-, Year =r.2s the bulldut�C crmrLsiYuc�3?
:, a; for w 7X You WY need an asbe5fus ass�inent � subn;r ryP�h J�is appikn�on- d
ID-a%r1;77on of work ar o V "Otd—`
_ 7
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i r; ize-ur,=prinkierJcactce'row pr fir, MU%t fist f CM=ad piumb2r. ir:G��-Jme /C, mustUsk ed eieWIrlan.
-:ubcon ractom8: 1.i;iWOO r=pTynameor02YOTr'3'CQI�I,Lc s
F� aid �ium aF ,`i�ruC3r Roofu �"� cl IJiher
i;er c^y ucimowlsdge l�T hm read )ills applic dcFn ands `e i#iat ;he abw1e inrormis complete and c rrwt F awe to .
ca,�tFlir =.Jl' t aid .�qurram7erus Co,ie`3ird here+n a:rd � or and state tam regulating buifding cost tvcWm- Y knowtb;e. e
errnit is rat valid antg it bas been paid and issued.
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ewririlc tdaLre:lt ''cry ��ne�it,a5 gnaivre
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