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HomeMy WebLinkAbout2914 Comet St - Applications/Sprinkler - 08/29/2018planning, Deveiopment & Transportation 281 N. College Ave P.O. Box S80 Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVEROTHE OUNTER PERMITS ONLY 7b's application is to be used to aPPIY for the following permlts only (check all that apply). Cl 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 Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable Information ontheapplication. Incomplete applications w4II not be accepted. Application # `�/IJV�1 V�� Date U $` Forofl9te use only Sob Site Add (required) � va 5 of CANIS13,VCtion (labor, materials, profit) �d, �O PropertyOwner Name Address S City/ fate d ZiP Phone J /wf C /�0/'1�3 yBOi' �JOd�/17�d KC• %-%.r�tltr� �L� O�.i6�� Applicant Name Address City/State Zip Phone 49"ISe.rPe 5-1 r .41 •s. V /-�--i 80.4 l 9lo- 227- 903✓ Contractor Address City/State Zip Phone L ®S' /C// G Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report sales tw number is required by ag contracmm. Are you paying with your trust account? ❑ Yes 5rKo Is this a residential or commercial project? X Residential 11 Commercial If residential, is it: $f Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it. ❑ Hank © Bar ❑ Church 13 Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? ❑ yes Vivo If yes, you may need to contact Hlstnric Preservation If this is for a demomibion permr�, what year was the building consVucted? If prior tv 1975, you w111 need an asbestos assessment M submit Wltb Mis app/lcation. Description of work e -�/a.� �err�7V0-- *If lawn sprinkler/backflow preventer, must list licensed pltmber. If first-time A/C, must fist licensed electrician. Subcont racbors. Ust the mmpanyna/m�e, or aty of Ft eo0Lns license # Bectridan Plumber_!7/ " &//O Mechanical Rom per 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 oonstruction. I know that a Permit is not valid until It has been paid and issued. Applicant: (� atNaln�'` 5 Signatur Date I, V