HomeMy WebLinkAbout516 W Magnolia St - Applications/Reroof - 04/11/2018Apr 09 2018 08:37AM Schroeder Roofing 9706693532
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Ci Of Planning, Development, 6 Transpa
4M$ Community Development & Neighbor
251 North Cdlaga Avenue
Fort Coo*, CO 80624 Blain: 870.418.2740
OVER-THE-COUNTER PERMITS
This application Is to be used to apply for the fbllowing permits only (check all t
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Rooting ❑ 80%
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood(Pellet Stove (must be EPA ce
manufacturer).
Complete all applicable infonnnlon on the application. Incomplete applications
A r8v2558 POUS9:
Application # f3 194) 2 5 (oD S{}E p
Fier a lft rye &* Oahe
in Services
Services
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t apply). ❑ Air Conditioning
a Lighter ❑ Gas Log
Line ❑ Photo-voltalc
led. provide make, modal and
not be accepted.
]ob Site Addy value of Gabor, mater� pry)
`$ I
Property Owner Wa e _ Address City/State r-IZip Phone
LK-1 :1 P .
•
COnbactOr CILY Of Ft. 6AIns Sales Tax
Are
you paying
Is this a reddentfal or commercial project? tgRasidential t7 CommerrJal
If reekientlaal, is it: 0 Single Family Detached ❑ CondQ/Wwnhome (single family attatied) a Duplex
❑ Mutftmly (aparWa t) ❑ Garage
If commercial, Is rc ❑ Bank ❑ Bar O Church ❑ HoWMotel ❑ Medical oftloe ❑ tftae ❑ Retail
Restaurant ❑ Other (exptain),
Is this building 59years of age or more? O Yes pLNo ffyaj� yva„W need CD Wntaa hbftvfC f hbn If this is for a dernorlt ion pmndR, what year was the buAding constructed? -
*If lawn sprir'14 Ybactdlow WevenW, must list licensed phrmber. tf fltst-tlme A/C, roust list decreed elect i Idan.
Subcontractors: L& rhs cru►t MY nerve ar Ory offs C.Wns lLr WW 0
demidw Plumber. Med�m>kel
Roofer 01J"M
I hereby acknowledge that I have read ails application and state that the above hiormatlon is
correa
comply with all MWIraments contained herein and M ordinauxas and state deuce regulating bun oortsatrtdic t= IlI agree
a
permot it la nvalid ruM tt has barn paid and dewed•
Applicant: /1
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