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HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 03/24/2017Pianrdng, Davdiopment Br. TmnsporLatlon t3ty crf 281 fa. College Ave P.O. BOX 580 �& .li S Fort97& co sosz4 alonm e �aais-aaao Fim 22"U4 OVER--SHE-COUNTER PERMS ONLY This apptiaadan to to be used to apply for the follcwine permits oily (ohack all that applyl ❑ Air CondftMV 0 Dttma an [mtwW ncn-M Ml D Elecaical Afteramon (Trot service change) 0 Gas Lighter 0 Gas Log 0 Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line 0 PhOW-voltaic ❑ Verlft ona Vlfater Heater ❑ Water Une' ❑ Wood/Pellet Stove (must be EPA certified provide make. model and marurtecdnrar). Complete all applicable information on the application. Incomplete applications will not be accepted. Awficaciofi # 'BL b I LII WE ( I� ForaTIM V5V of& Ls this a resider>gal or eommardai pr*W WRestdentfal ❑ earrnnmtw If remdentfal, Is Itr 09ngle Ferrdly Detached 0 Condgftownhome (Sftle family atx KW © Duplac 13 Mnk�nt T`commerdel, is it 1] Bank ❑ � pi& ❑ Heiei/Motel ❑ Medlotoffke ❑ of floe ❑ ReW ----...:.-❑.lasestaurant-.....0 0thw(explafn)--.- - - . .. :..... ......_ ... - -- 7s th►s b lding So years Of age or more? O Yes oft Byes; ywnwYneed to ard=A*w&Pr�vi F-thisis fcr a. damonom permit, whatVemwas the bulldirrg mnatrrttbed7 Ir'pr/crfi 197.E ycw t�Onesdan atlasrwOD7 bSLs$ga . DescrlpUM c *If lawn Gortnider/badd'low prawn, met Eat k sed pWmber. 7f &SL tfte A/C; must Est Bowed awatrtdarL Subccntr� L.e3iMeamomynaworGIyofR�Rlrsl Omer I hereby ad OVAe as Ust sham rad oorfWNred herein on and state tlmt the ab we Wbrmaft Is compute and oonact I agree to Permit is notvalid MMI it IM bame dry ordktances and Stele lamregulaFaig buHdtng construedon. i knovr that a paid and mod. Applicant+ Print IvanN z4117 t7-d bZ£££ZZOL6 00 GOINGS uuewl13 dg L: L L L L t o jdV