HomeMy WebLinkAbout3313 Oregon Trl - Applications/Furnace - 08/30/2017Aug 301708 49a Swan Heating and Air 970.613-0826 , p 1
- Planning, Developmen4 & Transportation Services
FVirt^� Community Development & Neighborhood Services
281 North College Avenue
Fort Collins. CO 80524 Main- 970.4162740 Fax 970 224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). 0 Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
'Heating Unit ❑ Lawn Sprinkler ❑ Motile Home replacement ❑ Roofing ❑ Sewer Une ❑ Photo -voltaic
❑ Ventilation O Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # Z)\-105-6 - ftoriaA�-
rvrofterseono, gno5333
Date
--&C/
Job Site Address (required) Value of Construction (labor, materials, profit)
no or -Wpo 00 3s00
Property Owner Name Address City/State Zip Phone
m 33 l i S o 205ZU
Applicant Name Address City/State Zip Phone
Contractor Address City/State Zip Phoneme
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'z .JO
Contractor City of FC Collins Sales Tax # Are you paying taxes here or by report? Here ❑ Report
Salesbwnumber snauiredbya#conoactom Are you paying with your trust account? Yes El No
Is this a resdential or mmercial projects Residential ❑ Commercial
If residential, s t: Single Family Detached ❑ Cmdo/bownhome (single family attached) ❑Duplex
❑ Kdtifamly (apartment) ❑ Garage
If commeroal, is it: ❑ Bank L7 Bar ❑ Church 13 Hotel/Motel ❑ Medical office ❑ office L] Retail
❑ Restaurant ❑ Other( in
Is this budding SO years of age or more? ❑ Yes No Ifyes, you may need io aontactHistonc Preservation
If this is for a demolition permit, what year was a building constructed?
Description of work 1Fjjrn810
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1. -y-dje 7 544
*If lawn sprinkler/bad6low preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontraac�t�ors. L&rr�U�u/eecompany name ofCtYvfF[CollinsGcense,0'
Bectrioan—i Vvin h t IJVLJ Plumber Mechanical Roder 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 netvali(d1 uhntlil ittlhas paid and issued.
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