HomeMy WebLinkAbout507 Cowan St - Applications/Air Conditioner - 05/11/2017City Of Planning, Development & Transportation _+
281 N. College Ave P.O. Box 580 'WT►i�d
Fort Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). O Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer)
Complete all applicable information on the application.
Application # e"
b 'lo 2G§7�0_
for offce use only
Incomplete applications will not be accepted.
Date 05/11/2017
lob Site Address (required)
Value of Construction (labor, materials, profit)
507 COWAN ST
$2,620.00
Property Owner Name
Address City/State Zip
Phone
APPAREL IMAGING
507 COWAN ST, FORT COLLINS CO 80524
970-484-6606
Applicant Name
Address City/State Zip
Phone
Contractor
Address City/State Zip
Phone
NORTHERN COLORADO AIR INC.
812 STOCKTON AVE, FT COLLINS CO 80524
970-223-8873
Contractor City of Ft. Collins Sales Tax
# Are you paying taxes here or by report?
O Here ❑ Report
Sales tax number isrequimdbyaf/contractors
Are you paying with your trust account?
E Yes ❑ No
26862
Is this a residential or commercial project? ❑ Residential O Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office U Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ®No 1f yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
1f prior to 1975, you will need an asbestos assessment to submit with this application
Description of work REPLACE AC
*If lawn sprinkler/backfiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins lrcense #
Electrician Plumber
Mechanical Roofer Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant: KARENA
Print Name: KARENA HUNTWORK signature HUNTWORK
Date 05/11/2017