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HomeMy WebLinkAbout2108 Lambic St - Applications/Sprinkler - 05/23/201805/24/2018 19 14 520-322-9850 FEDEX OFFICE 4194 PAGE 04 P%nrdng, n 11ant & iirensportamOn aty,of R�� 28I. N. College Ave P.O. e�c SW F--rt Cos Fort Collins, CO SOS2.4 phone 974- 16.2740 Pax 224-6134 This appikaftn is tv be wed to apply for the follaudng pemus anlr (check g1l that sppjyr U Air Co'tt Wring O Dennoiltlon (mtetror no ctusal) 13 Elecinced Alterati�t (not service change}) Gas I�igtder ©Gas Log Ci Heating Urut j rLam Spnnkler ❑ Mobile Home replacement C7 Roofing D Sewer Una D Photo-voltate Ci Vernebw 0 WeW Heater © Water lute 0 Wood/Pellet Stove (must be EPA certified, provide mom, model and manufacturer) Gomplaw all appocable intonnatioffn on the applications. Incomplete sppik*ftne will not be accepted ,&llcatlon # 0 � Date 3� ) jRr 1� �p aW is this a reddenbal or commercial pro)eet? X If r+esidendal, Is It: 2f Single Farally Detached E3 Mttltrfamily (apartment) if commerc€aI, is t 0 Bank D Be Q Chun Residential 0 Commenaal 13 Catdo/townhome (single family atgdned) Cl Duplw U C,amw .h U Hoteltmotel © Medical office 13 Office 13 Retall is Restaurant 0 Other (explain) Is this budding 50 Tears of age or more? U Yes JI'Rla If yes, you n7ay aeoed to contoaH/stak AYse+►vaitan If this is for a domol ion permit, what year was the b ulding cw ? irprfor w 1975, ynu wfff need an asbestos a s:$sme V to submit w►7M M alppkaffm Description of work "Vr.* J»#�- *If !own Vnnk1er/bacldi0w pttrvettter, must M llcsnW plumber If anal time A/r, must list licattsed elect wn Subcontracbww. L& the evmpany name or CRY of it a" &enm 0 I hereby acknowledge du t I have read this appltcadon and state that the above Information Ls mmpkft and correct I agree to comply with ail require nwo ow"ined heron and Chic ordinancw and State laws regulabN building ootauvcom I know that a Permit i9 aot vabd unN it has butt paid sold h=edG Applkcantr .:S b..7) I R ----