HomeMy WebLinkAbout1901 Ross Ct - Applications/Reroof - 12/19/2017 (2)Dec 19 2017 16:07 RTC 9707763741
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t CO(�i(1S
�rnrurr8, moveivpme r, ot iransporrevon Services
Community Develop nt & Neighborhood Services
281
North College Avenue
Fort Collins, CO 80524 Main: 970AI6.2740 Fax 970.224 6134
OVE
R-THE-COUNTER PERMITS ONLY
This application Is to be used to
apply for the following permllts only (check all that apply). ❑ Air Conditioning
❑ Demolition (Interior non-struatu
I) ❑ Electrical Alteration (not rvice change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler
❑ Mobile Home replacement�Roofing ❑ Sewer Line ❑ Photo-vokalc
❑ Ventilation ❑ Water Heater ❑ 1
Vater Una ❑ Wood/Pellet Store (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Informat
on on the application. Incomplete applications will not be accepted.
Application #
��J pate a
rff ouse only
�
7?b She Address9743
ue of Construction (labor, materials, profl)
�$pU°0V
Property Owner Name
Addresrk'
/State Zip phone
-4
Applicant Name
Address C
ity/State Zip _ _ Phone
S370&N\
' o
Contractor
Address C
ity/State zipPhone
City of Ft. Collins Sales
ax # Are you
Ingtaxes here or by report? Jere ❑ Report
�&X nWyd 1S hra#
Are youing
with your trust account? ❑ Yes � No
ta
Is this a residential or commercial p
)ect? Mlesid I ❑ Crnrr
ercial
If residential, is it: ❑ Single Famil
Detached o/townho
(single family attached) ❑ Duplex
❑ Multifamily (
If commercial, is it: ❑ Bank O Bar
rtment) Garage
❑ Church ❑ Hotel/Mobel
Medical office ❑ Office ❑ Retail
❑ Restaurant
17 Other(
Is this building So years of ape or r
If this is for a demolition permit, v
iore? O Yes o Ifm you
hat year was building
may need to conWd H[sforic Pregwyabbn
a constricted?
Description of work
o
—firs
*If lawn sprinkler/bacidiow prevent,
ust list licensed plumber, If
me A/C, must list licensed electrician.
Subcontractors: List sire cnmprny
a 4t10fR []7/Nns Ikre
Electrician plumyP1
i Roofers �_ other
I hereby age that I have read
amply with all requirements contained
Ns application and state that the i
herein and ordinances
ibove Infomration Is complete and correct, I agree to
Permit Is not valid until It has
and
paid and Issued,
ss
laws regulating building construction. I know that a
Applicant: /�
Print Name:/ 1 il!
Signature
Z
Redden deb 24=17
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