HomeMy WebLinkAbout1913 Ross Ct - Applications/Reroof - 12/21/2017 (3)Dec 21 2017 12:40 RTC 9707763741
page 2
FOB CottinS
This application Is to be
❑ Demolition Qntertw non
❑ Heating Unit 17 Lawn :
0 Ventilation ❑ Water Hi
manufacturer).
Complete all applicable
Applkatlon #,
Planning, Development & Transportation Seryices
Community Development & Neighborhood Services
281 North College Avenue
Fart Coffins. CC 80524: Main, 970Al62740 Fax 970.224.6134
THE -COUNTER PERMITS ONLY
to apply for the following PWm is only (check all that apply). ❑ Air Conditioning
tural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter 13 Gas Log
der ❑ Mobile Home replacement' tooting O Sewer Line ❑ Photo-volialc
❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
on the appllcadon. Incomplete aPPIcations will not be accepted.
Date al To 1 %
lob Sft A Ildrees (mod)
value 0f COn bUCtI0n (labor, matertals, prciq
Property Owner Name
Address Cfty/State ZIP Phone
(
S
Applicant Name
Address city/state ZIP Phone
E 3-310[�
Contractor
Address City/State Zip Phone
fles Tax # Are You paying taxes here or by report? JV Here ❑ Report
CDr&z= City of Ft Collins Si
tmnronber �duQ01
tl1x Are you paying with Your trust account? ❑ Yes PWo
Is this a residential or commend
I project? Res I p Commercial
If residential, Is it: O Single
Iy Detached Condo/W ndhome (single family attached) p Duplac
❑ Multifa
fly (apartment) ��]]Garage
If mmmercm, is It: ❑ Bank
gar ❑ Church ❑ HoKlwiote) i7 Medical office t] Office ❑ Retail
❑ Restau
nt 0 Mer (explain)
Is this building So years 0f
If this for a detrrollti0n
or more? ❑ Yes KNo Ifyams, you may need p7 co»�y,�k ppawyy�
It, what year was the bolding ognstructed7
Desc!pt4n of work
ft. AL4rwo "Af
r
er, must list licensed plumber. If';flrat-time A/C, must list licensed elecdiNan.
*If lawn sprinidet/baddiow p
Subconb acbms: List t&e
name or CA'yaf R CoRns Nc>� 0
Plum
Mechani of Rooter >- {QQ_ mar
hereby edge that I have
Ath Oil requirements cDnb
this application and state that -the above lnfbmhation Is complete and correct. I agree to
fined herein and city ordinances and state laws regulating building construction.
Permit Is not valid until it has
men paid and Issued. I know that a
Applicant:
Print Name: