HomeMy WebLinkAbout3736 Stratford Ct - Applications/Air Conditioner - 06/15/2016RED LINE Heating & Coolin
970-613-1406 p.1
Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
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) Q Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing O Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #_ �11oc�3t,f7R Date (oT //4e
For ofte use only
Job Site Address (required)
`1310E
Value of Construction (labor, materials, Profit)
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Property Owner (Name
Address
City/State Zip
Phone
-tx ee,
Applicant Name
Address
City/State Zip
one
A
Contractor
Address
City/State Zip
Phone
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
ere ❑ Report
Sales tax number ismgi&edbyail contracfors
O
Are you paying with your trust account?
Fes ❑ No
`
Is this a residential or commercial project? X Residential ❑ Commercial
Iftresidential, is it: Single Family Detach ❑ Condo/townhome (single family atta9ched) ❑Duplex
Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building SO years of age or more? 13Yes ❑ No Ifyes, you mayneed to mntact HistoricFfMrvatron
If this is for a demolition permit, what year was the building constructed?
If p1jor to 1975, you will need an asbestos assessment to submit with this applicatlon.
Description cif vuork
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Co/lfns license #
Electrcian Plumber
Mechanical 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 city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant
Print Nam
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