HomeMy WebLinkAbout903 Thornhill Pl - Applications/Furnace - 02/27/2020City of Planningh, Devetopmen4 & Transportation Services
�FOr�t W[InS Community Development & Neighborhood Services
�— 281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162740 Fax: 970224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
E3 emolition (interior nonstructural) ❑ ❑ectrical Afteratwn (not service change) ❑ Gas Lighter ❑ Gas Log
Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wooffellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #.
rorofte rase only
Date
February 27, 2020
Job Site Address (required) Value of Construction (labor, materials, profit)
903 Thornhill Place, Ft Collins, Colorado 80524 $4334.00
Property Owner Name Address Gty/Stat a ZIP Phone
Paul/Elizabeth 6amino 903 Thornhill PI Fort Collins, CO 80525 970-980-3033
Applicant Name Address City/State Zip Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address Qty/State Zipp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contractor City of Ft. Collins Sales Tax Are you paying taxes here or by report? ❑M ere ❑ Report
daxrxonber�regrmedbya{tamtrarra7s Are you paying with your trust account? VYes ❑ No
10010
Is this a residential or glimmerdal project? Residential ❑ Commercial
If residential, is it: V Single Family Detached ❑ C7ondo/townhome (single family attached) ❑ Duplex
❑ Mulbiamiy (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ HoW[Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 5o years of age or more? ❑ Yes ❑ No ryes, }emu mayneed to Hisimic Aewxmb n
If this is for a demolition permit, what year eras the building constructed?
Desciption of work "sting{O"10ce and reptQre mth Eke" f"'"
*If lawn sprtnkler/baddlow preventer, must ra rhmrsed plumber. If first-time A/C, must fist licensed electrician.
subcontractors: list the tvmpanynarne erCRy offtCh nashh we p
EleWidan Plumber Medtanical Roofer Other
I hereby acknowledge that 1 have read this application and state that the above information is complete and correct I agree to
campy, with all requirements contained herein and city ordinanoes and state laws regulating building construction. I know that a
pemut is not:valid until has keen paid and issued. //►� c/�+
Applicant" Chri4tuuvEvan4 (,f I / { /n �Q 20
Print Name: 5gnature `�, r � V tM 1p Dabs
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