HomeMy WebLinkAbout1906 Ross Ct - Applications/Reroof - 12/19/2017 (3)Dec 19 2017 16:56 RTC 9707763741
Fort Collins
This appikrelon Is to be use
❑ Demolition (Interior non -on
❑ Heating Unit ❑ Lawn Sprli
❑ Ventilation ❑ Water Haste
manufacturer).
Complete all applicable info
Application # V k-1
For a to tee i
page 3
Planning, Development,
& Transportsffon Services
Community Development
& Neighbortrood Services
281 Norlh College A
Fort Collins, CO 80624
Maim, 97OAl62740 Fax 97b224.6134
/ER -THE -COUNT
R PERMITS ONLY -
to apply for the following
Its only (check all that apply). ❑ Air Conditioning
turelj ❑ Electrical Alteration (
of service change) ❑ Gas Lighter ❑ Gas Log
Jer ❑ Mobile Home replacem
*ooBng ❑ Sewer Line ❑ Photo -voltaic
❑ Water Line ❑ Wood"Ist
Stove (must be EPA certlfled, provide make, model and
nation on the appNcatlon. Incomplete
applications will not be a=ptsd.
Date
Tjr3C]lr�f1
lob S16e Address l)
Value of Construction pabor, materials, pro?
Property Owner Name
Address
. C3tYl9aft Zip Pie
C
-3- 301
Applicant Name
Address
City/fie Zip Phan
r
IF3
3400
Cityi tate Zip Phone
Contractor
Address
Contractor City of Ft. Coffins Sa
In Tax # Are Y
DU paying taxes here or by report? IVHere ❑ Report
s axmm+Aer�(y MWbyor
oarmrs Are
paying with your trust aacount7 ❑ Yes PPNo
,commend
Is this a residential or
I project? 1Q 17
merdal
If residential, is It ❑ Single
If/ Detached � o!
e (single family attached) ❑ Duplex
❑ Muldfa
f/ (apartrrrert) Garage
If commercial, Is It ❑Bank
Bar ❑ Church ❑ Hotel/
17 Medical & tce 0 offlce ❑ Retail
13 Restau
nt ❑ Other (eplaln)
Is this bWkMV 50 years of
or more? a Yes ffymn
1� may need m anted Avsarvat/on
If this Is for a demokltion
what year was a building
Descrl of -
AW
work
,
i r
"If lawn sprinldw/baddbw
, must list licensed Plumber.
flr�time A/C, moat Ilat licensed edaetradan.
Subcontractor Listbhe
nwmorC7tyofftcam s
#
Wum
Mechanics
Roawb— 6`Q odw
I hereby aclTowledge that I have
d this application and state that
the above Information Is complete and correct. I agree to
comply with all requirements
permR Is not veld unt8 It has
ined herein and city ordinances
paid surd land.
state laws regulating building construction. I know that a
Append
Print learn
4
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