HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 11/25/2019�Otyof. Mann! s Development, Trn8p®f> nn Sefwces
taamrr:,ucoyDevelopment & Neighborhood Seavices
?F4 Cabins; CO Emu Maim 970.4ia.2740Fwc 87t M4MU
OVER T� E-COUNTER PERMITS ONLY
This appGe�43on is to be us�f io apply for thefoiiou+ftng permits oniy (check alE fisai app[j/} I] Air CondHioping
13 oemewIon(nierIor non sfrrazt Q 17 Eli ckEcal AtieraEcn (not service change) 11 teas Lighter 0 Gas Log
HeatIng tinI n Lam Sprinkler 0 Mobile Home replacement ❑ Roffmq Mew Line 0 Phoio-volia c
Ventilation 13 Water Heater it Water '.'ra ❑ Woodchat Stove {must be EPA certified, provide make; model and
mantlfacture�. -
Complet a ail appllcablelnfornmation. on a application. Incomplete applications aria not be accepted.
Application # 1 `� ) �D Date l 12rl
FcrafikauWonly I
36b Site Address (rquNed)
Value of Construction (labor, profit)
a rTF-
UnWl-2
Property Owner "re Abdi�ess
Phone
Ctty(Staie MP Piton
ow howees
1-a
Apptlrant Name A�d
CEb//State Ztp Phone
jab
1 it MR . Li -1 f0 %
Contractor Address
city/Sims Zip Phone
1
. $ '
Contradpr aty of r- 1ans Safes Tax #
Q- ��j Are you paying takes here or try report? Q Here O Report
5 awvwnta byaYmn acrcrs.
►O2'X
Are you palft Y� trust aunt? %Yes ri No
is this a residential or a Mwc1al' pr*d?
O Residentlal O Commerdal
Tresidential, is it: D Sirele FWT* Deta
0 CortdQfW=home (sutgle fatuity attadied), O WPlex
0 Mui6farnily (aparht
eertt) 13 Garage
If cpmmeni is lt; Q flank ❑ Bar Cl Ch
m h 13#lotelfttel O Medleal'offiae Q flee t l Retail
11 Restaurant 0 t
ther(explain)
Is this bundfng 50 yeses of age armors?
II Yes 17 No W)ia$.YOUn�3YneediDaUMCtHBWCPfiMWVaUW
If this Is Iota: demolition poriic, What ye`
r writhe bioldmo construcir d? -
D
ption op uuoik 8
a cZS LU
VJH 16U)
*If. iawnsprintder/WedRow pmvenW,: must list
gmre4plum6er: if brie �j{ ; enuSt Test 1T etEciSiciBit.
suheorsrLl�tdrecgtnaany.,anreor�oPRc�6ns�ce�e�
@ems6art_ Patanbes��_
� Othw
I hereby ac avviledge 1h&I have read this a
pllcadOh and smthattheabm mfomation is complete and mrekt i agree to
comply with all requuemenfs contained herein
and city ordinances and state laws regulating bultdtng mnstrycdon. x loraev t hat n.
pens lUs trot valld until it lass mean paid
issued.
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