HomeMy WebLinkAbout4560 Larkbunting Dr - Applications/Air Conditioner - 04/20/2018970-221-6329
Re
City of Fort Collins'IT Dept
ils application Is
Demolition (intern
Heating Unit ❑ 1
Ventilation ❑ Wt
all
#For
to
�l
09:07:10 04-16-2018 1/1
ling, Development, & Tmnsp tlon Services
community Development & Neighbo hood S ices
!81 North College Avenue !
°ort Collins, CO =24 Main: 970.416274q Fax "1 224.6134
'HE -COUNTER PERMITS NLY
u
for the following permits only (check all hat apply). RrAir Conditioning
Bectrieai Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
bile Home replacement ❑ Roofing', ❑ Se r Line ❑ Photo -voltaic
Line ❑ Wood/Pellet Stove (must be EPA ed,, provide make, model and
the application. Incomplete application will not be accepted.
Date 11=018 y ` 12. A Qj
I
(
Yalue of Construcpon (labor, materials,profit)
Lark Bunting D.
fpe3bSibsAddress
D
rtColli
s
O8052B $20,929
rtyOwnerNam
dCRy/State i Zip Phone
beth Rockwell
4
0trk
Buntin Dr. 8D Fort Collins CO i 80526 970-237-1044
pilcant Name
Hess Cfty/Stabs i Zip Phone
ne Hour Heating &
C
diflordri
g
10400 N Garfleid Ave Unit A Loveland, C SC)538 970-775-7005
ctordress
tne
city/StateZip Phone
Hour Heatingr
nditlonl
5400 N Garfield Ave. Unit A Loveland,O 80538 970-775-7005
Cc
ntracbor City of FL
01
In
les T
Are you paying taxes here or by report? §tHere ❑ Report
tarnrair a
Are you paying with your tru�account? P(Yes ❑ No
Is
this a residential or
prof
❑ Residential ❑ Commercial
If
msldential, is it: W
gr
Family
it hed ❑ Condo/ti mhome (single family at"ed) ❑ Duplex
1
1
rnily (a
rt
rent) [] Garage 1, i
If
ximmercial, Is It: 0
nI
❑ Bar
C hurch O Hotel/Mow ❑ Medical office 13 Office ❑ Retail
❑
i irant
C ther (explain)
Is
If
this building 50 year
Ls Is for a demeli
a or mo
Iq wh
V
❑ Yes O No ffyt� you naeyneed M mn HA�lavicRr�rt�adorl
err was the building constructed?
ption of work
I awmark-U-itier.2 condenser and 2 ton Alr•
r ele mL01 to Dods
*
lawn sprinider/baddl
inter,
licensed plumber. If firs"me A/C, roust Bst Ikensed alectrlclan.
s
rs: List
na
VrR Lb h$ Jkertsa of
FJ;don-P
Medtanlrai H-824 hoofer Other
I h
colply
by admowledge
with all requirem
need th
fined he
a
leli
lcatlon and state that the above hiforthathn Isqomplebe and correct, I agree to
i and city ordinances and state laws regulating bul ding
mit Is not valid unt
1 I
h
i i been pi
ildnd
construction. I know that a
issued. I
Ap
31111coub
;
PrI
nit Name: AshleySignstuna
Daft A to I, L�
Rai Eels 2l =7
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