HomeMy WebLinkAbout1525 Preston Trl - Applications/Water Heater - 01/16/2017Planning, Developm�m & TranspD],
28 L N. College Ave P.O. O:;
Fort Collins, CO SOS?!
Phone 970-416-274n Fa:: -1
LH i:� M I I zb fi- N
.1 1 Lj
f
ji,;a ;oji is .3 be usqd to apply for the f0flOwing permits Only (check all that appiy). CI A:;
(intarior non-structural) El Electrical Alteration (not service, change) El Gas Lightei il Gis Df:
-.t,no, Unit !'i Lawn Sprinkler Cl Mobile Home replacement 0 Roofing 0 Sewer Line 0 P1l0v>vtAa1-
Featel- Ei Water Line 0 Wood/Pellet Stove (must be EPA certified, providiilln.P.,. il-,
ali ii3i'Orl7lation on ihe application. incomplete applications will not bE-
j)r of i1ce uso only
Value of Construction (labor. iwl;11,
5257 P_M_5A.70�-TR� 3 q.
v r City/State Z11) ;,I ioi i,-.
Owner Address
-45 -Y(,
City/Statel,
Name Address
5A qla -Ay- ,ql
Address City/State Zip
6. �Vr
�
ri:,,tor City of FL. CADIlIns Sales Tax di Are Are you paying taxes here or by report? 11
paying with your. trust accourlt?/ rtfy�s N,
bl'all C017trROWS. Are you
6,1S 6 1 lo lb;-11 Ul CUI iiercial project? Lsi?esidenijal D Commercial
it,: Single Family Detached 0 Condo/townhome (single family attached) 0 bqc%.":
-1 ) 0 Garage mL.11tifamily (apartment)
rch 0 Hotel/Motel EJ Medical office 0 Office EJ Retail0'. 11, 1 lel cial, ;-i it: 0 Bank 0 Bar C1 Chu
0 Restaurant El Other (explain)
,jj,.jjj,,j 50 years c..'age or more? 0 Yes El No Ifyes, you n7ayneedto
na a !er7clit5on perrn;t, what: year was the building constructed?
I o,75, �Nl �rjj/ j7eecl an asbestos assessment to submit with this appliration.
'11 of work
it ir�o•nist licensed plumber. If first-time A/C, must IlSt licensed elecdida�l-
jjjklc,-/iuckflrjw orovejitir, nlu,;L I
ct_ I's: 1.1Q UI& CZ)11717017Y 101770 or City of Ft C-6117ns license
Mechanical---- Rurifer
;Ic-,loruwi,26je UmL I have read this application and state that the above information Is corriple' i and conzi
all roquireinciiLs contained herein and city ordinances and state laws regulating building conSLruCJ(;,i. "jlwlc
u;,.! I:, has be -an paid and issued.