Loading...
HomeMy WebLinkAbout225 Columbine Ct - Applications/Electrical - 04/04/2018City0f - - * Irewd lip11E rya Fort Golf CO g P.O. - Phone 970-416-2740 Fax 22-+6134 Tleis aIV110afim is to be oaf to apply -for 111he ioiWWingper'mft ordy-(check alt UsatapplW 0 Air-Condtlioning © Demotion firtterior nor -structural) 0 Electrical Alteration (nottservice change) 0 Gw Lttter 13 Gas Log d Heaft Unit Ei Lawn sprinift o mite Home reptacement ii Pwoling Q Sewer Lim o Photo-vokwe 0 Ventilation 0 Water Heater © meter tkne 0 Wood/Pellet Sieve (must be EPA cettitred. provide make, model and manufacturer). Complete all a hilarmation an the applicalliam in plate appli�nswill not he see Date rerofte �J VAlUe of(�Oflgftctian cab", ak� tom) Pr oerty OMw tuame Addrew c rcy/State zip f7� 1 "� 'Vr __ _ _ _ _ y .. Applicant Name Address Citj►f-ate Zip sie Cwttrar#r Ltc # 96 Address GiY/State zip aPhone Contractor aty of Ft_ cdons Sates Tax # Are you paying taxes here or by report? Here 11 deport S staxf is hYaltctr ra Ar>? you firing vvtth yom trust account? oYes v No 14 c?t . r is tNs a residential or c Yrimerclat project? IKResbentW Q Commerciat if ram, is t: tYI-RFVIeli' Dehxtjed C'i COn(WtwaA ame (site* famify atWied) Q Duplx E3 Mullfwrifly (aparrment) fl Garage If cornmerc i4 is it II Bank LI Bar II Church fl HotelfMatel 13 Makcal ofte E3 office L) Retwil E3 Restau ct Q adw (ggfttn) is this butidtng So years of age or more? ©Yes ONO iiYes ! rr need in Inc i'p�an tf this is for a deamUtim perrWt, what year was the budding corms? Ifpwr trt 1975 you w#ljwW an azommt to sb mtrt mM!t b* appftraMm V lawn wimerlbadcpow prevwter, must fist lfeensed plumber. If lim-tme A(r, must fist licensed efectti n_ Sullcore9r rs:L&thecartpanyraameorCrlyofftCathmlAwase# _.MMME�i:MMM MR. :. I Weby acimow%dge that I l read "apMIfration and state that the abode irftwohm is and correct I acme to oomph+' witty aft rftlurireraetnCs conta'ir a hen arrrl dtV oxffnana s and sfateiai regulating buff frtg construcl WL 1 buyout 1thata peamit is not valid od:iI it has been paid and bsumi i 77177777 _ �