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HomeMy WebLinkAbout3903 Sunlight Ct - Applications/Plumbing - 03/12/2018City of Planning, Development, & Transportation Services Fort Collins Community Development & Neighborhood Services 281 North College Avenue Fort Collins, CO 80524 Main: 970.416.2740 Fax 970.224.6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. Application # 1;5401bt15;35 For office use only Date 31 I !I 1 b Job Site Address (requited) Value of Copstruction (labor, materials, profit) �03 -U)i n &©sa Property Owner Narh4 Address City/State Zip Phone 056 - oas Applicant Name Address City/State Zip ,Phone :R12� M&EXC&U. o "I, FA, 1 O nil - Pff Contractor Address City/State Zip Phone S' kA)_ACp�� i � ? 1 �) 9JPN conkractor City of FL CoUlis Sales Tax # Are you paying I taxes here or by report? ❑ Here ❑ Report Sales tax number is fequAW by a// av*a tam Are you paying with your trust account? ❑ Yes ❑ No Is this a residential or commercial project? P Residential ❑ Commercial If residential, is it: 171 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Hank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you may need to contact Hilo c Preseivabbn If this is for a demolition permit, what year was the building constructed? Description of work 1 1 l Ki *If lawn sprinlder/baddlow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or CSty of ft Collins lkam # Bic bidan Plumber Mechanical Roof& Other I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit Is not valid until it has been paid and issued. Applicant:J11 Print Name.CO) 0 G Signature Date 06