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HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 01/07/201914 Super-F _ nY Ch Sites C p 281 N. CaHege Ave P.O. Box 560 613117, 9:32 AM Co�.Lil'�S ForC ColUns. QO Phone 9i4.416.2740274t) Fax?14-fii34 OVER.THE-OUNTER PERMITS ONLY Th s application Is to be used to aPply for the fotiowing permits only (check aQ that apply).13 Air Conditioning Q Dewlition Onteft non-structural) ❑ Elechicai Alteration Oct saroica change) 13 Gas tighter 0 Gas Log 0 Heating unit ❑ Lamm Sprinkler 0 Mobile Home replacement ❑ Rooftng 11 Sewer Line 0 Photo -voltaic ❑ Ventilation dtrWd er Heater 0 Water line ❑ WoodlPeM Stave (must be EPA certified, provide make, model and all o- IjUcable Information on the aPPUCAtion. InWMPISW MflcaWns wHi riot be accepted. M 1�1 %6��f85 Date 71r� Forofte am only value of Co Qahor, mraterlais, profi ,¢.a &bfd PhonaQ7o— =-5325 A lix rrtldame Address M/StRe ZIP 33J2- ,�r�l�r /4114 r• ,�S Bd52 Contraclpr ifl'ln iWt4 t, �' Address City/statezip�" 33! f' 6�2VtGc� / /q c� E zuc — a dhor Gty of FL Collins Sales Tax #-?a 0,08 Are you paying taxes hers or by report? Ci Here SUPOrt S�eStexmo,rbeirs,aquUadtryap mntr�cmrs Are You paying vft your trust a=wjrit? .Wes 0 No this a residential or eommerdal pro}ect7 MWdentfal C1 Commerdal residerrtlal, is it: mangle Famity Detached 0 t orxWMwnhoma (duple family attaclied) 0 Duplex E3 Multlraa* (apartment) D Garage eommemiai, is it. U sank © Bar Q 0=6 17 HoteUmaw © Medical mT= 0 one 13'Rewl C3 Restaurant O Other (explain) I tills building 50 years of age or more? G Yes 0 No Ifjz, youmWnwdtn wrttattKalo cPiearvattaa If this is for a denrroption permit;, whatvear was the buhkbg constructed? - privr to 197lb, yore wBl nead an as agw aamswnwf tirfnsubavt with drls aW&Om- Of iawa alut arlbaddiow prevadw, must list Incensed plumber. if fuse time Atr. must bt awwd electridan. 1rstthe atmpanynameorGilyvfRCaffisr 9 Plumber = Moftdca Rooter Oliver herelsy sct wdalge dust I Emtre read this applkattan and -able out Me above Ink mation is comphA s artd commit. I agree to momit oy is no vau� tt tras been pabi and . va mp kanow and Aft laws regulatarg boil V wnsftwOom i hwaw that a Page 10 or 14 l•d 9670-ZWOL6 Auodwoo eoimes uuewlle dL9:L0'61. 6Z ueP