HomeMy WebLinkAbout843 Bitterbrush Ln - Applications/Furnace - 12/15/2017Dec 13 2000 08:21 AM HP Fax
page 2
This application is to
❑ Demolition Anterior r
RI Heating Unit ❑ Lan
❑ Ventilation ❑ Water
manufacturer).
Complete all applicab
Application #
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
THE -COUNTER PERMITS ONLY
to apply for the following permits only (check all that apply), El Air Conditioni
tural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
:ler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model
on the application. incomplete applications will not be accepted
Date
Job Site Address (rep
)
Value of Construction (labor, materials, profit)
I
843 Bitterbrush Lane
$10,600.DD
Property Owner Name
Address City/State Zip Phone
Christy Ferraro
843 Bitterbrush Lane Fort Collins, CO 80526 970-223-6518
Applicant Name
Address City/State Zip Phone
One Hour Heating & Air
487 Denver Avenue Loveland, CO 80537 970-292-5769
Contractor
Address City/State Zip Phone 1.
One Hour Heating & Air
487 Denver Avenue Loveland, CO 80537 970-292-5769
Contractor City of R. Col
ins
# Are you paying taxes here or by report? M Here ElReport
Sa/esraxnumberisrequlred
aii..
LIZesx
Are you paying with your trust account? 91 Yes ❑ No
Is this a residential or me al protect? ® Residential ❑ Commercial
If residential, Is it: M ngl Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ mily (apartment) ❑ Garage
If commercial, is it: ❑ nk ❑ Bar ❑ Church ❑ Hotel/Motel 13 Medical office ❑ Office ❑ Retail
❑ rant ❑ Other (explain)
Is this building 50 years f a e or more? ❑ Yes ❑ No Ifyes, you may need to contact Historic Pr�valron
If this is for a demolitl It, what year was the building constructed?
IfOrror tv 1975, yva W// n asbeshas assessment to subm/t with this appbcahon.
Description of work
pt
ice furnace, AC and evaporative coil
*If lawn sprinkler/badcFl
Subcontractors: Ust the
Electrician
preenter,
I'l
must list licensed plumber. If first-time A/C, must list licensed electrician.
any nameorOtyofFtComm 1kense#
ben Mechanical H-824 Roofer Other
I hereby acknowledge that
comply with all requiremer
permit is not valid until
Applicant:
Print Name: Stacey
read this application and state that the above Information is complete and correct. I agree to
ained herein and city ordinances and state laws regulating building constnictlon. I know that a
been paid and Issued. i
Signature Sclr��ccdt Date 12/12/2017