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HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 05/04/2017May 1717,07 21 p ellmann service compony 970-482-0416 p 6 Planning, t)wmwpa* &Trampormlon City of zsi N. Calfte Ave P.O. BMr 580 Fast Collins, CO AQ524 zoe Ptmm 97o-41ar-2740 Fox 224-6134 t VOwTHE-COUNTER PERMS ONLY This won to to be used to aPWY for the foliowtna pennfts only `check WI that applyL 0 Air Corldiltdrl9 ❑ DemoWon (in6tmior normiW chrQ ❑ Elecdtcet }lfterelion Snot service ctwgp) ❑ Que Ligtrtsr E3 Gas Log D Heating ihUt 17 Lz m Sprinlder 13 Moboe Home replaoement ❑ Aodbig O Staurw ne 0 Photo -voltaic ❑ 1!� a 64W;mter Fier Q Water Line ❑ WoodlPellet Stove (ffW be EPA CWHea provids make, modal and Complete aff apAltcabie kdbmledton an the applicadon. lnaomptete epfleations vAH not he sampbuL Application # V5170,� q i S Date Arafthn rW 0* Is d* a r asid rAw or co� PmJeW ORmWenN 13 C.atmnmdal If rwdderift. Is it: Oingle fsarntly DeUmhed D Cbndo/tnwnhome (sVe famUy amaamM t7 DupW If commerr�, is it17 8aak Cr� � 0 e --G ant- - CI other t�Otej/P4cEel 13 Nte&�t oftioe ©Off1Ce 0 R� is this b AdhV so ymm of age or amraol? II 7es�II Afo j may.,�m a n d l ifc Iftltlsisfatra demitfoap�enlg, �7rearvrasthe-buVdhV nor �P�1a19?;yae�fne�ann�ifctv�i�rV� . — ---• - - -- - *If 61wn W11111derlbaddiow prmwd:er, must Ibt Uarse3 plumber. V tbst-lung 111E Ilst litaFdbea�p�ynar�te or Crlyofftt2�IBtts/karss� g d 8atltildgrt sn,r� - �� 20aler altar �Ihert edm4v iedge that I have read Vft ap&o� ww state omt the above wrribmmtlon is Pe mmPl i is not requ wm RR Has � herein and CRY Ard s and stne, taws ° I agree to pm and isslm +g WdIng . I ktwwthat a