HomeMy WebLinkAbout3226 Twin Wash Sq - Applications/Water Heater - 06/09/2016City 0f Planning, Development & Transportation
t 281 N. College Ave P.O. Box 580
r
1 ` Collins Fort Collins, CO 80524
`�-- 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). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler (j Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation .2rWater Heater ❑ Water Line ❑ 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 #� _?�`ala Date j�'-� : AU
For office use only