HomeMy WebLinkAbout3312 Birmingham Dr - Applications/Furnace - 12/29/2016Mar 31 2000 04:15AM One Hour Heating & Air 9706634097 page 2
C,C,ity of tanning, Development, & Tra po,
�.�Vrt C�IInS Community Development & Neighbor
281 North College Avenue
Fort Co coII' CO B 4
OV R-THE-COUNTER PERMI
This application Is to bused t apply for the following permits only (chi
❑ Demolition (interior no struct 1) ❑ Electrical Alteration (not service chan
❑ Heating Unit O lawn Sprinki r ❑ Mobile Home replacement ❑ Roofing
❑ Ventilation ❑ Water Hater Water Line ❑ Wood/Pellet Stove (must be
manufacturer).
Complete all applicable; informs ion on the application. Incomplete appli,
Application # I U Date 116
-b 1For oh?ce vse 0*
Se
ONLY
all that a pp
❑ Gas ig
Sewer L ie
will hot be
O it Conditioning
Gas Log
Ph o-voftaic
de make, model and
Sob Site Address (mqui*d)
Value of Co
uctlon
labor, ma
Is, profit)
331; Birmingham
Dr. $26
Property Owner Name
Afeworki Gebre-Egziabhier
Address City/State
3312 Birmingham Dr Fort Collins,
21P
CO 80526
Phone
970-599-6215
Applicant Name
One Hour Heating & Air Conditioning
Address Oty/State
487 Denver Ave Loveland, Co0537
p
Phone
970-292-5769
Contractor
One Hour Heating & Air ,Conditioning
Address City/State
487 Denver Ave Loveland, CCI
p
0537
Phone
970-292-5769
Contractor City of R. Colllns Sales
salesbxWnbar/srcrMWbyavcon
Tax # Are you paying taxes
Are you paying with y
re or by
ur trust a
port? �
unt7 DK
ere ❑ Report
Yes ❑ No
Is this a residential or commercial p
Ject? R Residential, ❑ Commercial
If residential, is it: RSingle Farrd
❑ Multifamily
y Detached ❑ Condo/townhorne (single family
apartment) ❑ Garage
attached
❑ Duplex
If commercial, is it: ❑ Bank ❑ Bar
❑ Restaurant
Is this but;ding 50 years of age or
If this is for a demolition �ermlt,
❑ Church ❑ Hotel/Motel ❑ Medical office
❑ Other (explain)
more? ❑ Yes O No If yes, y ov may need to,
ovihat year was the building constructed?
❑ Office
❑ Retai
bon
tact H'
Desciiptlon of Work Replace F
imace
*If lawn sprinlder/backilow, prevenber,
must list licensed plumber. If first-time A/C,
must list licensed
ectrldan.
Subcontractors; Ust the company n
me or Lily ofR FoNns harm e 0
Electrician Tlumba
Mechanical H-824 R
ter
er
I hereby acknowledge that I have readthis
comply with all requirements! contain
permit is not valid until Itihm bee
application and state, that the above Inform
herein and city ordinances and state laws regul
i paid and Issued.
on Is comp)
rig building
and co
constructlo i
ect, I agree to
i. I know that a
Applicant: Ashley Wahunt
Print Name: y
Signature
aiEe 1
9/2016
R611Wd +U2 =16
C