HomeMy WebLinkAbout2757 Canby Way - Applications/Reroof - 10/09/201810/05/2018 14:20 9705930124 GOLD ROOFING INC PAGE 01/01
Of Plannin®, Davelopnre4 i Tmspor Uon "vkw
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lmmuur unity u�M & Wghborhood Services
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Fort Ca6r1e, CO 80524 Main: 970A16.2740 Fax 970.224AI34
OVER-THE-GOUNtER PERMITS ONLY
TOBs stppiknttdarr Is to bo rraad to apply Tor late tolbwheli permits orrl�i (clre�e aN that apply). 0 Air Conditioning
q Derndi>bn (interror rarraU•uchrrcd) 0 FJectrk�l Alteration+ (rut eenrice change) ❑ teas Lighter Q Gas Lag
0 Heeling llnft p LBwyn Sprinkler C] Hattie Home nrpt6cement O Roofing O 3ew®r L'ne Plato-vdmic
0 Vertfliation 0 Waist Heater 0 Water Line WoodlPellet Stove (must be EPA r�rtified, provide make, model and
marrufscturer). .
complete all; 11 n on the aPPltcetion. Incomplete app1liftdonns will not be accepted.
Apphcilt!On #_ I c l 1 pate
Foraf>rx t aNy
Job SM MOW (la9rrbed) vahm of Consbucu n (labor, materials. Prat)
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property owner Name Address qtY/SYataZip Phone
1
leant Name */state ZIP Phone
C & Q.OoPnjz
Contractor Address �tv/State ZIP Phone
- CL a c*n '96SD R-70 513 1631
Contractor City of Ft. C91Ms Safes Tax # Are you paying taxes hear or by moot? plre13 Report
$„,a,tway,arwfibvd = Are you paying with your toast a000unt? e6 0 No
IS this a or oxgmerM Pry a Commendal
If reeldentlat, Is lb Oftle Family Detached a UnWtownhome (single famtiy attached) O DrM*u
a Muftlandly (apartow t) • E3 Garagd
if commercial, Is It; a conk a liar a axuch G Na4~ 0 Mec»l mice O attics a Retail
a Restaurent a other (80 )
is this build'ang 6a galore of epe or more? aYesmowdfY , Y� 's ry t NMrot/c Pre tab i
If this is for a denwif l m parmlit, what year was the b mkon9 ow sbucte4?
of work
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I h�yadaawled0e that I have read this appilWon and state that the above kforrnaUM Is wmpift and correct I agree to
oorapry wm, an reogrernerft cmdabwd hereln and MY eedinancss and rdnte Im reguMn9 binding eorrsizudlon. I k"w ebat a
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