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HomeMy WebLinkAbout1225 W Prospect Rd - Applications/Air Conditioner - 06/28/2016Jun 28 16 09:49a Swan Heating and Air 970-013-0826 p.2 City.CA 6t Collins OVER-TH This application is to be used to apply ❑ Demolition (Interior non-structural) ❑ ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mi ❑ Ventilation ❑ Wafer Heater Q Water manufacturer). Complete all applicable information or Application # r-71 Lo9t). far oflfte Lm only Planning, Development & Transpo9rtaiion 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 ' Phone 970-416 2740 Fax 224-6134 .POUN ER PERMITS ONLY / the fioilow g permits only (check all that apply). i�'141r Conditioning fical Alter n (not service change) 0 Gas Lighter ❑ Gas Log Home reel cement ❑ Roofing Cl Sewer Line ❑ Photo voltaic ❑ Wo ellet Stove (must be EPA certified, provide make, model and the appficat*. Incomplete applications will not be accepted. t]ob site Address fra mao Val a of Constrmetilon pabor, rnat mists, per)) Property Owner Na a Address QL City/Stage 2;p Phone c1 � L;`1L-C3t0 Applicant name i ddress Gty/Stat!e Zip Phone Conti -actor A ddress { City/Stabs Zip Phone7tJ Contractor City of Collins Sales Tax # Sales taxnumberA:mquired byaYa�nh kre you paying taxes here or by report? re you paying with your trust acoount'? t3-H�,-E re ❑ Report L9'fes g No IS this a residential or [0 al project? identi 1 I ❑ Commercial If residential, is'it SH' Ingle Family Deta ed f . nd 6wnhorne (single family attached) ❑ Duplex i7 Muliifamily (apartrrr t) 06rage If commercial, Is it ❑ Sank © Bar © C iurch E3 H:oteL Ylotel ❑ Medical office 13 Office ❑ Retail ❑ Restaurant ❑ C dw (explain) Is this building. 50 years of age or more? Yes o 11 If)w you maynaed m mnlactKrssioric PJrewrvabon If this is for a demolition permit;, what r was the buitdf g construed? 0 prior 61975 yiou' irony, nee -dab asbestos t to 't I',, r GSvs apoJ�Bon: Description of work *If lawn sprinNer/baddiow preventer, must IW Ifcensed plumt Subconbmcbmw Lrst'tke companynarrre or ofaCoMns EWdrician _ Plumber Meth I hereby adasowledge that I have rid this ap iration and comply with all requirements aantalned herein nd dty crdl penWt is not valid until it has been paid a d issued. Applicant: Print Nara If first time A/C, must I)st Ucensed eledrkbn. se # iat the above inferrnation is complete and correct I agree to and state iaws regulating binding oon>struction. i know that a