Loading...
HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 05/24/2016May 1516 08:24p Ellmann Service Cc 9702233324 p.2 Planning. Development &Transportation City a—:`:` 281. N. College Ave P.o. Sox 580 ,6rt Collins � Collins, 16 80524, 2740 �,� Phone 970-4� 6-274Q Fax 2246134 OVER -THE -CO U TIER PERMITS ONLY CO dffi This application is to to used to apply for the following permits not service change) a 1 Gas Lighter©Q Gas ��n9 0 Demolition {interior non-structural} ❑ EJectdcatAlteration 0 Heating unit El Lawn Sprinkler 0 Mobile Home replacement 0 Flooring ❑ Sewer line 0 Photo -voltaic 0 Ventilation 0 Water Heater 0 Water line 0 Wood/Peliat Stove (must be EPA certified, provide make, model and manufacturer}. Complete all applicable information on the application. Appi#cabion # I — �` q5 I DeSa ipiiori of work Incomplete applications vylil not be accepted - Date r *If lawn sprinklerlbaddiow prevented must list licensed plumber. If first-time AIC, must list licensed electrician. Subcontractors Listihecarripanyno+meorGlyaiFtCol�rrrs/rcense.= Elettriaan Plumber Merhanioi Roofer Other I hereby acknowledge that I have read this application and state that the'above Information is complete and correct I agree to comply with all requirements contained herein and aTy ordinances and state taws regulating huitding cvns$ucfion. F know that a permit is not valid until it has been paid and issued. Applicarri. Print Name, G�f�y�.o��sgnat�,� r -;�-� Data � �P