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HomeMy WebLinkAbout1212 Ashlawn Ct - Applications/Air Conditioner - 10/01/2018C''- WI&X a of F®City. Colima 18R592 Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Q y� Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134' 13 �g OVER-THE-COUNTER PERMITS ONLY J') Q� This application is to be used to apply for the following permits only (check all that apply). ❑,Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log 0 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 on the application. Incomplete applications will not be accepted. Application # t) (30 9 "f -74 Date _ rd 10 I • I q 8 For office use only , t Job Site Address (required) `Y Value of Construction (labor, materials, profit) ,ry� 1212 ASHLAWN CT FORT COLLINS 80525 9550.00 Property Owner Name Address City/State Zip Phone 1212 ASHLAWN CT Fort Collins, CO 80525 970-631-6519 Applicant Name Address City/State Zip Phone Contractor IMS Heating and Air 5213 L Contractor City of Ft. Collins Sales Tax # sales tax number is required by at/ contractors. Address City/State Zip Peak Rd, Unit A Berthoud, CO 80513 Phone 970-532-0123 Are you paying taxes here or by report? ❑ Here ❑ Report Are you paying with your trust account? ❑ Yes ❑ No Is this a residential or commercial project? © Residential ❑ Commercial If residential, is it: 13 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you mayneed to contact Historic preservation If this is for a demolition permit, what year was the building constructed? If prior to 1975, you will need an asbestos assessment to submit with this application. Description *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or City of Ft Collins l/rense fi Electrician Plumber Mechanical Roofer Other 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 construction. I know that a permit is not valid until it has been paid and issued. . Applicant: Print Name: JAMIE DENNEHY Signature Q1, AnLA' Date