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HomeMy WebLinkAbout1509 Briarwood Rd - Applications/Reroof - 05/12/2016From Affordable Roofing Inc 1.970.207.0289 Thu May 12 16:33:54 2016 MDT Page 2 of 2 ,#�tases�is�gr �eveioptssensi�-;tattsPeria�rte*� Otv OT 28i N. Cottage Ave P.O. Box 58C Flirt Collins i-a� Collins. CO 80514. Phone 970-416627410 Fax Z?a-6's34 OVER-THE-COUNTER KIMa � � ' t his application Is to be used to apply for the fioilowing pwmft only (*hock all that apply). 0 Air Gondkioning G DemoicUon (Tntwkir non-stmcWtal) T1 E1ecr%al Altemion (notsa<vice change) 0 Gas Ughter 0 Gas Lou 10 Heating t.ink 0 Lawn Sprinkler 0 Mohile ;-tome mpiacM(rtent G Raorffng 0 SwAr line 0 PhOtDAloltai:. r Ve:s tWu-on U Wa Wr Hr=--ter0 Wider Un-- 0 bVoodP?ellet Stove (must be EPA wedflied, provide make, madet and rnsnttf�Cblrer:_ • Cornalste ail aprilleable Tnfotma-fton on the ani ication_ Incomplete applications will not be accepted. R ) �U ' optfcatan -,a rf " Dam tarofriix im Onty sod Site Aavretas CragvlrGj Values of Construcdon Vabor, ntabeftlss p," W) i ! Propeer.%; Owner game OWSwte ZO Onone _1 U�li1�+��{���11i`Sk` ppliGiii iSame Address OtyfsfNte TIP 9 Phone q 7 f.3 �? t"f f.� n i=C'_. �U Cho(' s'antrG- ;ur .� Ad&ess - ►1Sr, ?Up Phone _.._. Cone _ecor Obf of R. Coffins Safes Tax 9 - xrr r,�c sit rltrdibyz6ro c Are- you laying'Ah your accocint?' Yes No t Chic a :asior commercial prcw,? �I�RP3idan�i L'1 cetnmerctat I P re_:-d-- tt w, :s rt. ^JI$i.'(gle fie tity Detached 0 caadojOwnhome (single fatuity amcheal Q DuPT= � i; Mul6iami y (apartmznit) O. Garage 1 4�rt:rt-rdal, is iti_ Banc o .B9r © murch u : io7m,_i%t wW ©,+Medical dike G office ❑ Retail j P--"utant C 01-1 r (evair,) 1 l Is Otis building RD sears of age or mom? C 1rc5 O No .�rye4)wrynwd to cwzWCrf LsW&PhdS&whbv7 i rF -Ns :s Fer a dsm6lydon pan- it. What year saes the buildistg mnE saucixd? �i�}3� iGi � f 9l1 ►/DtI SYI'I► /T�c'/�' 8Il BSDF,S�i75 2t�)C tp Si;0�f,7r�L SF,7�1 �]%� e',D�plx j Description of work --V;-Lvr o r-rDj n &-9��1,.aa- cnc) w�-q• I �.5� ��1 ' � iw Y��s� � � Y •�ii �5���1'h`� ti t1 t�t� �l�i rural-�`ti . i _. T,r. ia►m sPrintderjbacluitsw pr+evartCer, titust ii5`4 [it2st c! atusrtbar > tires Me. hlC, mtt� ' ricens�ri eiedxician. �_�;;cantractors; l..b� �eaa�n�rtyrramenrGq�ar'FrCof�sGc��� i _ Pturiosr Madan' Rioof T Omer hwe ;y ildw rrAudge that! two read this appUci icon and state iota` the above hTlibrmation is rompleb2! aW omrect: I a" to _ i w!)ly 3 nett all ;eWh'sN tuts canhitned ha-dn and city ardinance5and staM hnvs regulaU ng buIIding mnstrtu'mn. I know that ; 9errilt is not vatfd antll It has been paid and bored_ :apptica:rr: 'rdnt IIama: L rCl 11 ,__� Slgnasvre a 3 :. t