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Home My WebLink About2226 Lager St - Applications/Sprinkler - 05/23/201805/24/2018 19 14 520-322-9850 ��Gkyof�s FEDEX OFFICE 4194 PAGE 07 le saMng, D erma & Tram*+ 281 N. College Ave P.O. Box SW Fort collirrs, CO 80524 Phone 970-4i6-27 40 Fat 2246134 OVER-THE.COOUNTER PERMFIS ONLY `trill mWlaxon Iss to be M W to apply %r U* foftwing Wrft &wly (vhek ail mot apply).13 Air Cowrimning O Decnoldron (irftftr nor( -structural) a Ekoncal Alter0on (not service chance) M Cis Lighter C1 Gas Log ❑ Heating Unit ArLawn 89dnkler n Mobile Horne replacement 13 Roofing Q Sewer Line O Photo -voltaic © Veriblabon C1 Vftw Heater 13 Wolfer Line M WoodlPeilet Stove (must be EPA ceftlfied, provide make, mdel and rnanusacturer) Como®" all appOcable Infomudwn on the appileation. lncomple4e appikcaftne win not be xccePW ApplicaWn * �5 Igo L 1 Date FardVm Lw OY __ t Sob slip AddMss OWu#W) Name p h(O M •s Appikaant blame Contradar 104s @!alw of candrue (labor, to Wial% Addrds A Cityl-rota ,14fd/ �O je.� oel rt.,, .4 fi Address Address Ct state Zip Xo-r Zip Qty/Stabs Zip Phone Phone A?°- 227-- ge 3-0 Phone Contractor City of Pt Collins Sales Tax # Are you paying tars here or by report? 13 Here 0 Report S5 Aw tax number is rMigred by W CW&8crbrs Are you paAV with your tut aecwnt; Ck Yes WWo Is this a residenbal or aommardal project? W Redderrbal 13 Commercial V reeAend il, rs ie: OrSingle Family Detached a Condo/tr'wti ihorm (single fsmlty ettad)ed) 0 Duplex a Multifamily (ape bTw t) Q Garage V commercial, is it M Bank D Bar D Church ❑ Hotel/Motel E3 Medical office 13 Office O Rail 0 Restaurant 13 Other (explain) is Uts buitding S0 years of age or more? 13 Yes JM !f yam. you may Reed to cram //shorn Preservabnn X this is for a demolition pe wuk what year was the building constructed? Arp W to 1975, you WX need an AMMOW went:o sutwrttrt W11 i bhls V a/h"M Description of work /S''af`� /o�►• `�rr"�'r *If lsviq'i sprinkler/bacfow preverar, must tilt Mad punba If first-time A/G must list kensW elechim. 5utiooitlreicbors: list w mrnA ym-neAor OW of Pi CaMs ffcwm 0 Roofer. VVlf�b y - Odw I hereby adaxwmwge that I have read this appikawin and stft that the above frIft matlon is wmpWft and e0rreet. I agree m comply wfth aft regwmments wined herein and dry ordurdnnes and oft iew8 regulating bunding mnsOucMin I k00w !fret a perwilt is pot valid u"M it Iles beef) paid and Mailed.