HomeMy WebLinkAbout421 N Roosevelt Ave - Applications/Reroof - 08/29/201608/29/2016 MON 11:10 FAX 9706632626 Advanced Roofing
U001/001
City
of Planning, Development & Transportation
' 291 N. College Ave P.d. Box 580
o rt of t i n s .. Fort Collins, Co 80524
Phone 970-416-2740 Fax 224-51 ,�4
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply), ❑ Air Conditioning
❑ 1)erriolitirn (irtaricr non-struc,ural) G Electrical Altem-tion (nct seniics change) C7 Gas Lighter p Gas Log
❑ Heating Unit ❑ I awn Sprinkler G Mobile Horne replacement ❑ Rochng 05ewrsr Line ❑ Photo -voltaic
CI Ventilation ❑ Water Heater ❑ Vftier Line ❑ Wocd/Pellet Stove (must be EPA certified, provide rr,Gka, model and
manufacturer).
Complete all applicable information, on the application. Incampleta applications will notbe accepted.
Application # B) U o S OU 5 Date >
for ofCB use onli
]oh Site Address (require,) 7�''r-Co �/ �ds'�L � Value o¢ Construction (labor, materials, profit)