HomeMy WebLinkAbout1906 Ross Ct - Applications/Reroof - 12/19/2017Dec 19' 2017 16.56 RTC 97077637
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This application Is to be use
❑ Demolition (interior non-etr
13 Heating Unit ❑ Lawn Spr
O Ventilation ❑ Water Heatr
manufacturer).
Complete all applicable infc
App(lmtion * 6 11
For offee (w,
Planning, Develop
Community Devi
281 North College Avi
Fort Collins, CO 8062
IER-THE-COUNT
to apply for the following
tural) 0 Electrical Alteration
her ❑ Mobile Home replace
❑ Water Line 0 Wood/Pell
nation on the application.
00
ent & Transportation Services
Vment & Neighbotfiood Services
re
Main: 970AI6.2740 Few 970.224.el34
;R PERMITS ONLY
rnthe only (check all that apply). 0 Air Conditioning
at service change) 0 Gas Lighter 0 Gas Log
rrtt *Wng 0 Sewer Line ❑ Photo-voitalc
Stove (must be EPA certifled, provide make, model and
romplete app8catlons will not be accepted.
Dated
Job Sibs Address (mg,* d)
Value of Construction (labor, materials, profit)
Property Owner Name
Address
City/mate Zip Phone
CO
Applicant Name
Address
CIty/State Zip Phone
Co ctor
Address
Wstate ZIP Phone
City of Pt Collins S
Paying taxes here or by report? JVHlere ❑ Report
iles Tax # Are you
mx 70adbyaV
Are)
ou paying with your trust smourrt7 0 Yes )PNo
Is this a residual or com
1 project? 10 Resr-I 0
merdal
U residential, is it: 0 Single
[IV Detached d
home (single family attached) 0Dupieu
n Mu
N (apartment) age
V commercial, is it 0 Bank
Bar 0 Church 0 Hotel/Mote
I 0 Medical office 0 office O Retail
0 Restau
0 Other (explain)
Is this building 50 years of
If this is for a demolition
or more? ❑ Yes KNo If
what year was the building a
yoy .nay car [vr►! y Presarc�dbrr
nstrucmd?
Desai of work
*If lawn siftider/baddlow
i r
, must PA licensed plumber, i
first-ttime A/C,motif Ilst licensed ele�ldan•
Sub ontraatom L& irey
I
name or Oryofn affi sl
—"---
M
Rot><erD Oilier
I hereby adurrovAedge tint I have
Ply with all re<W
this application and stale
Ined herein and city ordinances
the above Inforrrration caebe and correct, I agree to
� IIIis
Pnet valid until It has
paid and hsued,
slate laws re�rl�ing building . = lahow that a.
APpliearrtr
Print Ilanhe:
Signature Lure
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