Loading...
HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 11/05/2016Nov 21 16 01:45a Ellmann Service Cc 9702233324 p.2 fiftyof Plarming, Devetopmen &Transpartaton 281 N.College Ave P.O. Box 58Q Cott"ins Fort Collins, CO 80S24� ��' �. Phone 970-416-2740 Fax n4-6134 OVER-THc-LiOUNTER PERMITS ONLY This appffamon is to be used to apply forth® following permits 'only (check all that applyk O "Air Conditioning 0 DemoNan (interior non-structural} © Electrical Aftersdien (not service changs) 0 Gas Lighter a Des Log 13 Heating Unit ❑ Lawn Sprinkler p Mobile Home replacement 0 Aooliing , 0 Sewer Line Cf Photo -voltaic Q Ventllataan 0 Water Heater Q Water Line D Wood/Pellet Siove (must be EPA ceriffled, provide make, model and menukaturer). complete all applicable information 013 the ag1711cadon. incomplete applications will not be accepted. - Application # �0 0 70UQ ) For mWe case only , _ ......30b5[% Address tre vi J_:.___: _ .. Value of 6imtruc lQn (labor, mateisis, proFit) IVA- LA - Addr ra? 1S_b" CIi.YIS e,�" ke a Phoneql,'J Applicant blame Address aty/Sue Zip Phone s cr•.v/�.La r� :rot '/ = .==�lri G ! SA � }J Co;ctor Lic # AddressZfp Cii y�$ta1Z �/.ryL r��.i ".. •� C L /�..� � �� � � ,�rt�F ��rs-irY ,rr�iis. .� ConiracF:or city of Ft Collins Sales Tax # 3 ., �-- Are You paying taxes here or by �Qrt? 0 Here Report 5alsslux nuaabvrlsraqutedbyanCzWaQvx Are you payog with Your hat amount? =63'e❑ No Ts this a restder&al or contmerdal proj=? O'Residentral, © Commerdai If residential, is it~ d9f5mgfe Famliy Detached 0 Cmdo/townhome (SIngie 'family attecitedj Q Duplex Mult�bmlly (apartment) Ci Garage rr commercial, is it Li Bank 0 Bar ❑ Church 13 Hotel/Motet © Medi arofiice 17 Office II Retail II_Restaurant. 17.other es _ _ Is this building 50 years of age or morel D YesNo If If-thFsEs for dernoliitafon- permit, what �' %!emu l'need to Contactw/51brICPrAserva6tori Ffprfortn 19P� YOU tfOneedan asb Year was the constructed? . esr,�saasessnre�i't�strbm,►i with f�ifsappllca2Yor1 - - __.. _. -- Descriptlori of Work If lawn sP�n[derlbadcifow preventer, muse fist licensed plumber. V funs-tirne AIC, must %st 5ubcoattsa�or� L'sfffiPma�p�Y��eorG�rvfFcL'ollinsllcans�� . Elecb dan_- electrician. - - t4ecnanira► — �_ Roofer Outer I hereby acknowledge that I drake read this a comply w[th all gIldrarnents can heredrn and'dtY ordinances aand 5tBLM anndthe above lr*r n8tlOn is complete and correct i asree to permit is not valid until it has been paid and issued. see laws regulating building co . 9 nsinretion. 2 Immarr that a Appit Print r