HomeMy WebLinkAbout2956 Comet St - Applications/Sprinkler - 08/29/2018,�PPCi�f Of Planning, Deve➢opment & Transpowilattion
281 N. Coege Ave P.. Box
" `art Colons Fort Collins,, CO 80524 O 580
Phone 970-416-2740 Fax 224-6134
OVERaTNE-COUNTER PERMITS ONLY
Thls application is to be' used to apply for Me f0l'm ➢nrg pet-m11s only (check all that apply). 0 Air Conditioning
❑ Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas Lighter '0 Gas Log
❑ Heating Unit ,Lawn Sprinkler ❑ Mobile Home replacement O Roofing ❑ Sewer Line ❑ Photo -voltaic
0 Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application #_ ' J l Z�vi W �Z Date _ Ire C� J �--
Foroffica use only
Sob Site Mdress
Property Owrier Name
P/"Y-Jc"cl gom's
Applicant Name
La..ISt�Pe �o,.c.p�
Contractor
L �S
Address
IMO/ Geoo6*av XO(
Address
.52. Ar 4 vs.-/
Address
/`// 4'-J & /,V
Contractor City of Ft. Collins Sales Tax #
Sales raw number is regulred by all conbacos.
Val ® of Con5trUCtiOn (labor, matpriais, profit) 7(/0.�
City/nth
Zip
Phone
T �Pr.v r4 !v
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Cltv/nth
Zip
Phone
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Qua-.?27- fe3o
Gty/State
Zip
Phone
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Bops y
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Are you paying taxes here or by report? 13 Here ❑ Report
Are you paying with your trust account? a Yes q-No
Is this a residential or commercial project? X Residential 0 Commercial
If residential, Is It: PTSingle Family Detached 13 Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is It: ❑ Bank 0 Bar ❑ Church 13 Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant 13 Other (explain)
Is this building 50 years of age or more? ❑ Yes O No 1f yes, you may need to contact HIstWc Preservation
If this is fnr a demolition permit, what year was the building constructed?
Yptfor to 1975, you wl/f need an asbestos assessment to submit WM Mis apOIC311017.
Description of work c-�/o✓ ���w h�
*If lawn sprinider/baclobw preventer, must fist licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: L& the company name or City of Ft Coilh.+s license #
Electrician Plumber RA 400 Mechanical Roofer Other
I hereby admowledge 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 mnstrucrion. I know that a
permit is not valid UAW it has been paid and issued,
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171Y.9 ct
Date (J