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HomeMy WebLinkAbout3007 Colt Ct - Applications/Furnace - 01/31/2018Planning, Devdopment &Transportation ,:ity of 281 N. college Ave P.O. Box580 � Ly olfi i Fort Collins, co 80524 �-.'i cPhone 970-416-2740 Fax 224-6134 OVgR-THE-CO 3i TER PERMITS ONLY Th(Diolition lication is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning ❑ (interior bon -structural) ❑ ElectricalAlteration (not seriricechange) ❑GasLighter ❑GasLog g Unit ❑ Lawn Sprinkler ❑ Moblle Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo-voftaic ❑tlon ❑Water Heater ❑Water Line ❑ Wood/Peilet Stove (must be EPA certified, provide make, modal and manufac'turer). Complete ail applicable information on the application. fete appiicatlons will not be accepted. Application # Forafh'ca use only Job site Address (requlmd) k30©1��., 7 ff plpplerty Owner Norge `v 1 t t. Income Date I I3r I1 k' Value of Construciion (labor, materials, profit) d' --7 n n T UP- city/state zip Phone Coiitr'actor city of Ft Collins Sales Tax'# Are you paying taxes here or by report? ❑here' Saps 6N numberlshrqul otiy'ah mn&i iftrs Are you Paying with your trust account? 'Wes ❑ is this a residential or co merdal project? rCi1Residential ❑ Gommerda► T: resldeplia' is it [,�Slp' le Family Detache' Q Condoltnwnhome (single family attached) ❑Duplex 43 Multifamily (apartment) ❑ Garage If commercial, is it: ❑Bank Q Bar ❑ Church 13 k0*VMotei ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) -o mntacrH&tcHcpn°s�rvatfon Is this building 50 years Qt age or more? ❑ yes ONO Irya5 you n7aY need If this is fbr a demoIId0i1 permit, what year Was the building coristnrcIpd? !r prior to 197.5, you will need an asbestos assessment to submlf ivM thtp appllcatton. Descnption of work -If lawn sprinkler/baddiow preventer, must list licensed plumber. If first time A/C, must list licensed electrician. Subcontractors- Ust Me company name or aty of R Wllns license # Otlier I FWtuivan Plumber Mechanical Roofer f hereby acknowledge that I have read this application and state that the above information is complete and confect. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I knout that a permit is not valid until it has been paid and issued. 1 ,/ Applicant.MM Y4417*14)�. 1l3Print Name.,_ �"GSlgnature� —