HomeMy WebLinkAbout1906 Ross Ct - Applications/Reroof - 12/19/2017 (4)Dec 19 2017 16:57 RTC 9707763741
page 4
u
,..Fort Collins
This applkation Is to be
❑ Demolition pnterlor non
❑ Heating Unit ❑ Lawn
❑ Ventilation ❑ Water Hi
manufacturer).
Complete all applicable
APPI GIUM #_--h
For offme
Planning, Develops
Community Dove
281 North College Aver
Fort Codins, CO 80524
to apply for the following
tural) iJ Electrical Alteration
;ter ❑ Mobile Home replace
❑ Water Line ❑ Wood/Poll
nation on the application.
y & Transportation Services
ent & Neighborhood Services
Main: 870.418.2740 Fax 970.224.6134
;R PERMITS ONLY
nnita only (check all that apply). 0 Air Conditioning
at service change) ❑ Gas Lighter ❑ Gas Log
rnt *odng ❑ Sewer Line ❑ Photo -voltaic
Stove (must be EPA certtfled, provide make, model and
complete applications will not be accepted.
Date _J&c%kci
Sob silts Address (mWrw)
Value of Construction (labor, materials, groat)
Property Owner Name
Address
city/State Zip Phone
qw--74tx
Applkant Name
Address
City/State Zip Phone
r
E
6 3340C'
Corr6actor
Address
City/State Zip Phone
u paying taxes here or by report? JVHere ❑ Report
Cwhactor City of Pt. Collins S
iles Tax # Are
:egre0rad*0#4 a
trscYors Are
paying with your trust account? ❑ Yes PNo
Is this a residential or cvmmerd
proms? � I
mendal
V residential, Is it: O❑ Single
Illy Detached Condo/
`
a (single family attached) ❑ Duplex
N (apartment) ���jjj Garage
If eommerdal, Is It 0 Bank
Bar D Church 0 Hotel/M
0 Medical office 0 Offke Cl Retail
❑ Restou
M O Other (explain)
Is this building SO yearn of
V this Is for a demolition
or more? O Yes po r
what year was the building a
y w may need to H&&k p�ygpkyr
instructed?
=work
,
*If lawn sprinkler/baddlow
.
, must list tkensed plumber.
first-time A/C, must list licensed electrlkdan.
Subcontractorsr ListB►e
ynemeoratyoffeCaWns
#
B0�1dan Vhnrr
Median)
Roder Other'
I hereby that I Crave
comply with all reWiremarts cont
d this appik Won alstate thir
]nod herein and city ordinances
the above Inli -nvftn Is complete and cornea I agree to
d lards
permit b net v8lW until it has
ar
n paid and issued.
state regulating building corartrctbn. I blow that a
Appllcasd:
Prb* Renee:
signature
lisle j�