HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 07/16/2018Aug 1418,05:590
14 Super nny plinth Signs
ellmann service compony
970-482-0416
mot» Al Cwtana Ova PD_ Box MO
p.2
613017. 6.32 AM
�,Fd Collins ft Cai�lns, ao 40
Phone S7{i-416-274a Faoc 2246134
OVER-THE-COUNTER PERMITS ONLY
This appocatton Is to be used tol apply forth® iollowlng permits ordy (check all that app41)• 0 Air Conditioning
❑ DemoNan (Interior non-sbuduran E3E[actrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
0 Haeft Unit E3 Lawn Sprinkler ❑ Mobilta Home replacement ❑ Roofing 0 Sewer line 13 Photo -voltaic
13 Ventilation d*Neter Heater ❑ Water line ❑ woodeenat Stove (must be EPA eerhW, provide make, model and
manufacturer). _
Compieta an apply Inf, on lire apOfti lon. incomplete appltrailons win not be aOCeptBd.
Application # Date
Fai' rc>luseanly
lob Site Address (mWIW) Value tat n (labor, mom, prr�)
2 h eb o(P-
'72-
W� �t 5S?S�CCILyJState -tr,m p F&((( Phone4770
Applkw* Him w Address M/State Zip PhO 3 IZ .
�SZ
Contractor )IF///"M1414 Address WARM ZIP 33r
Contractor City of Ft COIDW Sales Tax #-32�206 Areyou baying imces here or by report? O Here V44ort
mrr rlmoeru�equl aibyaomn�a�rr„s Are you pW tg with your trust account? .kYes 0 No
Is this a mideritW or commercial projeW Xusidwtfal l3Gommerdw
If residential, 11s itr j!�Singte Fam1y Detached 0 COndojbomtwme (single family attached) O Rupw
❑ Niuitifamlly (apartment) 13 Garage
If commercial, is it: 0 Bank U ear ❑ Church 0 Howimobe1 13 Niedkdl Oce 13 Wice D'Retall
a Ra t want 0 Omer (explain)
Is this buildding 50 years of age or more? Dyes ONO Ifyes, youmaynaediv cvrHaci K icPreservaBcn
If this is for a dimu tioa pterarit, what year was the building constructed?
Ifpnor to 1974 you wX need an a Off9w ame mmwt tart mb2 thLaappDW=
Description of work
*If lawn spitnider/backilow prOwnter, must Est licensed plumber. if fires-ime A/C, must 16t Qoensed electrician.
Subconbrider.r. z&r w& cawRov am=orMyofaCoDlirskwma9
Etedsidan pWmtler - Mgd%d aL_ Rmfer Omer
-
I hereby admawledge that I halve read this appliwtlon and slate that the agave Infammtion is comptebe and wire&- I awen to
comply with an requirements contained herein and e1tY ordinances and art laws regulating but'tding c=buditL I [mow that a .
peradt Ta not valld until It bas been pall and Issued.
t ttP$://www.littlethin g s.com/fun ny-church-signs/?utm_source,gclu&utm_meoium-Facab ooit
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