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Home My WebLink About4816 Regency Dr - Applications/Air Conditioner - 10/13/2016Oct 1316 01:06p Swan Heating and Air 970-613-0826 FCK-Y of 6I t o11. bl F�� Planning, Development & Transportation 281 N. College Ave P.Q. Box 580 Fort CoMns, CO 80524 Phone 97G 416 2740 Fax 224-6134 OVERaTHE-COUNTER PERMITS ONLY ,M16 W n ja to 6o used tQapply fqr th® fgllowing permits only (check all that apply). 3, 'k Conditioning [f archon riniarfor non -swot ft) Q Electrical Att+aration (not service arrange) Q Gas Ughter 0 Gas Log e9gna unit Ci L2wn Sprink[er Q Mile Home replacement Q Rooting 0 Seaver Line Q Photo -voltaic ❑ VentiEatiion 0 Water Meatier ❑ Water line Q WandfPeffet Stove (must be EPA cer#ffred, provide make, model and rrtar+u[setr��a�. Casnpleto all applicable Warmaffarz on the anoU=flom incomplete applications will not by accepted. Appiir�tiol7 1-� IIJ� bate } far MBuse rm#( I DT (L L job stun Addma rywlaw w Halue ofConsuucron Cabar i P � ,. y o - 7, 50 Promw OwFI!?T wafflij AddmM clwstate dip Phone (go -17 `1�� t Y r ARt? IUME kaMe Ad Cry/Slate Zfp Phone Contraclnr Address city/slat,, ZIP Phone AerjAim 1'fm J Y Al-� cam` ConWdCWr City of �bbllfns Sates Tic # Are you paying t trere or by report? 0 Here Q R xrt .sans Ara you pWmg uft Vcw Paust account? Q Yes 13 No Is this a residential or m esdal project:? M.Wdendal Q Cwnmerdal If residential, is it, Single family t2etached Cl Condoltownhome (single family aftched) Q Duplex Q M&hmily (apobnent) Q Garage .w�✓ If commercial, Is It: Q Sank Q liar ❑ Ctwrch ©riotePl Q tedi®f orrice t1 office©Plebil © Restmurant Other (eagilatrt Is this building 50 years of age or more? U Yes o gi�r Yorrr�ayn to asnbd'Ifsla�ricPra lion if this is for a demiidon permit, whatyear i wtltiPng cons4rucbed? rpriorb 19m,, you WIN Read an asbes�s rrer�fo submit eyid� t*iiris alspllratian. ©amplion of "'1f town apdaMerf 6addtaw pmventws, mat list )(sensed plumbw. Tf fh*-fte A14 must list licensed eiecbidan. SumbluMntraeWoA :lbttrierumponynmucorGtyofftCaYkw # aatb4dan Ptembw Madm itmt RoafP1' firer I hereby edwowledge brat i have read this application and state that the above Wbrrnadon is omVlete and cow I agree m MM131y wjM at Musemt nl.S uanore d boon and dty oa tnanom and state iawrs mgufating building mnshudHan. Y [mow, thata panm➢r: Is n&* valid undi * has hem paid and issued.