HomeMy WebLinkAbout7314 Avondale Rd - Applications/Air Conditioner - 01/05/2018Jan 051810'04a 9706198074 p
.�CP5151
planning, Development & Transportation
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281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
1 Phone 970-416-2740 Fax 224-6134
OVEWTHE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water beater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
all applicable Information on the application. Incomplete applications will not be accepted.
# 6 m oo l q `? Date 91- 7% 3
For offlm use only (�) Iqb 0C)( 3 33310 • as
Sob Site (Address (requlmd)
Value of Construction (labor, materials, profit)
70-H 1, Avrindo.
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Property Owner Maine
Address
City/State Zip Phho�onne
Appiicant'Name
Address
City/State Tip Phone q 7a
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Address
Gty/State Zip xj Phone 970
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Sales Taos #
Are you paying taxes here or by resort? O Here ❑Report
_Wes twrm'I nberIsre�qukedbyeticonracmrs
Are you paying with your trust account? 0 Yes ❑ No
Is this a residential or commercial protect? Residential ❑ Commercial
If residential, is it W Single Family Detached ❑ Condo/towntwme (single family attached) ❑ Duplex
Iff Multifamily (apartment) ❑ Garage
If commercial, Is it ❑ Bank 13 Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
1 ❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you may need fv contact Historic Preservatan
If this is for a demolition permit, what year was the building constructed?
Ifpnbr to11975, you will need an asbestos assessment to submit wibb this appllcabon.
on LTD A"
*If lawn sprinkter/backnow preverrter, must list licensed plumber. If first-time AX. must list licensed electrician.
ust the company name or City of Coll rakense #
Plumber Medhankai Roofer
I hereby acknowledge that I have read this application and state that the above information Is complete and correct I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit isiot valid until it has been paid and issued.
Signature
Date -1 'on
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