The URL can be used to link to this page

Home My WebLink About942 Strachan Dr - Applications/Water Heater - 11/17/2016Nov 171611:55a Hahn plumbing 970-493-5325 p.1 City of s in Planningr Developmwt & Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 8052,s Phone 974- 16 Jz0 Fax 224-613A 001VI °R _TE E=0� U IF El s P E .5,51, INA19`�T 5 01\11L.y This application is to be used to apply for the following pemiie Only (check all that apply). 0 Air Conditioning ID Demolition (interior non-structural) © Eleetrical Alteration (not service change) 13 Gas lighter Q Gas Log 0 Heating Unit © Lawn Sprinkler 0 Mobile Home replacement 13 Roofing © Sei+ver Eros _ Q Photo -voltaic ❑ Ventilation Water Heater E3 !Afater Line 0 W ood/Pellet Stone (must be EPA certiT�ed, provide make, model and manuiactursr;. Completa all applicable information on the application- Incomplete applications gill not be accepted. Application 'o-_ IlA��1 Date For .0 ce Use 0/71y bob Npte Address (required) Vr Wc- o, C01-1strtlCdQ—L1 (labor, mab?dals, profit) Dy- Property Owner name Address Gty/State dip - Phone Apptica,M 54ame Address atiY/5tate Zip Phone �' 7v,1)i n �j0 contrdor Address CILy(State Zip Phone Y� J I I r f Contractor City or Fr. Collins !i4s T ax = Are you paving taxes here or by reports 0 Here Report I Safes rYn_mbwisrequired byall condacmis Are you paying rVilthr your bust accourit7. XYes ;his a residential or commercial projeW CI Residential D Commercial i7 r esidencial, is it: Single Family Detached 0 Cando/bDwrihorne (single family ai:�ched) : 13Duplex Ci Multifamily (apartment) Q Garage If commercials is it: Q 5ank r 5ar G: Church E2 Hotel/a`=ioLel i1 Medical office 11 on, Ci P,etait M Restaurant 0 Other (explain) is this building 50 years of age or more? C Yes _M No %; yes, you maynead to coniactH!&OricPrasawaiion If this is ;ar a demolition pern±it, what year Leas the building construed? Fi r,`ar to ?37a, You will need an as6escos assessmerir ro submir irt+lrh rius applicadan. of vgork V 017 splrlr 1der/baclalow oreventer, must list licensed plumber, i; first time A/C, must list licensed electrician. _ r Subcontradors: List il7a Companyname or iiiyof qc Collins. c2nse �` ! Electrician Plumb*_c iVlechanital Roofer Other I hereby acknowledge that l have read this application and state that the above Information is complete and correct, z agree tQ comply with all ragWrements contained herein and city ordinances -arid slate laws regulating building mmstruction. E .kwwt that a Permit Is not valid until it has been paid and issued. Applicant: MQ(APrins:large: ��"� signature Date �� i�