HomeMy WebLinkAbout725 Mcgraw Dr - Applications/Air Conditioner - 09/05/2017rrom
09/05/2017 05 46 0729 P 002/002
City of
Foort Collins
oDtOk4�a
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
War a
OVER -ME -COUNTER PERMITS ONLY
This application is tCr fe used to apply for the following permits onlycheck all that apply).
O Demolition (interior non-structural) O Electrical Alteration (not service change) tor as Log ping
Vpteating Unit D Lawn Sprinkler ❑ Mobile Home replacement ❑ RoofingSewer Gas Lighter i� Gas Log
❑ Ventilation El Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPertified, provide make. model and
manufacturer).
Complete ail applicable information on the application. Incomplete
Application # b (IC) 5Lio� -
for offce use only IP i
lob Site Address (required)
Property Owner Name Address
Applicant Name Address
Contractor
Address
Contractor City of Ft. Collins Sales Tax #
SaAs taxnumderLr/NNrdredbyapcmbactcy�
applications will not be accepted
Date�-
c/
Value of Construction (labor, materials, profit)
City/State Zip Phone
City/State Zip Phone
City/State Zip Phone
Are a
You paying taxes here or by report? IfHere *Report
Are you paying IT Your trust account? Xyes ti No
Is this a residential or commercial project? esidential ❑ Commercial
If residential, is R. 903ingle Family Detach p Condo/townhome (single family attached) ❑ Duplex
If commercial, is it: 17 Bark O Bamily r ❑ Church Garage
O Restaurant p _ HOtel/Motel ❑ Medical office ❑ offCe ❑ Retail
Is this building SO years of age or more? i] es�pin)No If If this is for a demolition permit, what year was the building constructed7 need to axr[actHLstnnc ore rvatlon
If pnbr to 1975, yvu wf//need an asbestos assessment to subnuY wifh this app/IcaBan
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Description of
"If lawn sprinkler/backfiow preventer, must list licensed plumber. if first-time A/C, must list licensed electrician
Subcontractors: List the company name OrC 1YOfR Collin license ,P
Ek,aloan___ Plumber
Mechanical
—_ Roofer Omer
I hPrahv
ication and state
t the above
comply ---
With aind city ordinances a d state laws reg lating is com9 ete and correct. I agreeto
aii requirements contained hereina Permit is not valid until it has been paid and issued. 9 bulldin construction. I know that a
Applicant: /� f�
Print Name��GA�p C� eV.— Signature