HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 01/23/2018of planning, Development &Transportation
281 N. College Ave P.L CoRins fort Collins, CO 80524.0- 580
Phone 970-416-2740 Fax 224-6134
OVER—THE-COUNTER PERMITS ONLY
Th appon Is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ emolIlion (interior non-structuraQ ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ t ieafing Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ N lentilation dikWater Heater D Water Line ❑ Wood/Pellet Stove (must be EPA certifiied, provide make, model and
mai ufacbirer).
Coi nplete all applicable Information on the appIlgation. Incomplete applications will not be accepted.
Ap5lication # 1�m UDateFor office use 2
(repuireo7 Value of Construction (labor, matte, profit)
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tractor Cray of R. Collins Sales Tax #-3a Z 0S Are you paying taxes here or by report? ❑ Here wort
gar fimberanVUft dbyagmnnace«s Are you paying with your tent aecount7 . Yes ❑ No
IS I his a residential or commercial project? W%Residentlal 13 Commercial
If residential,, is it: RFSingle Family Detached ❑ Gondo/townhome (single family allaciied) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If mmercl% is it ❑ Bank 0 Bar ❑ Church ❑ Hotel/motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant a Other (explain) .
Is JhIs building 50 years of age or more? 0 Yes O No Ifyes, you mayneed to contact Hista*PreA°t bkw
If is for a demolition permit, what year was the building constructed?
If ner to 1975, you wX need an asbestm asm=nent to submit with Mis appAca6on.
of work
lawn sprirdder/baddiow preverrfer, must list licensed plumber. If first-time A/C, must Bet licensed electrician.
ust the company name or cay of FtCoiluts ire #
Plumber = Metllanlm Roofer
acknowledge that I have read this application and state that the above information Is complete and correct I agree to
with all requiremerns contained herein and city ordinances and state laws regulating building construction. I know that a
is not valid untf It has been paid and issuexl.
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