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HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 02/26/2019Mar 08 19,02:59p ellmann service compony 970-482-0416 p.3 14 Super- Chu�h Signs .i� 281 ne cage A� P.O. BOX 5BD 613m,, 9:3 ��ns , n Rift Ool IAr CO BOM � lit= 970-94*V46 RX 224-61% iMW'M11F,wnWU—MT=0R PERMS ONLY This appllmllon Is to be used tw apply for the following permfto only (ohs* all the appfyj. E3 Air Condiimft O DWOU90171 QrftW non-*UDW1W) O EWdaW Aharstfon (nntsenyme dwau) O GasUghter 0 taus Log O t wing Unit is Lawn Spdrdder 0 Mobfle Home repfacemetii 0 Roofing Q Sewer LLne 11 Photo-voUc G verdlt w &jeNa er Hea1w O Water line ❑ WaodliftIO Stove (must be EPA wrblied, provide niato, model and marndfaohuer'). Oct � a9 appfi iehtotinha4lan c n lltte applliC�fiit. Incomplete applloaucns will not be waav" Applice0on # b P d � � Oq Di fe lit rvr offlo &waAry 210b Oft "draw (fivaw tote of man (abw, mal e►talsi Pam) ezo r) j . '2 . it 23q, .Z �opetKO . 4 ` _5S7S�CC1Wff� R1r,�1 P '850f PhoneQ70' Ap dint }game Cantm bor M of Ft Comas Was 7 ax S81es tar atAntrffi 15 r2qulra s 6y all rdrurar�ra� Address -' C YFtate - zip ?CS Are)mu AM YOU p q V t yaur tali tWes here or �aoc�ouW AMVW 13 WoWft Fs thts a h esideittiaf or whrhntercfaf proms? . eritiaf 0 Commercl r residenMt is rc j51sfng1e Farnfiy DeMCW 13 CondoJfnur =e (9nglefamlly attadied) O Depiex 0 M9damily (agamnuM 13 Garage tf commercial, is m ® cards U Bar 0 Church C1 HotaWote1 0 Mediml ofitce O Office 1 Rstaft 0 itestfamu t © Odd (e vain) Is fftfs bf Iftg 59 vasaves off apfe or more? O Yes O No lfyasyaumyj7wdivcaob?diffs&WcPiw&vW= V this Is for a deaaaafibion piawh9yfa3r was the btAling constructed? 1Fpnorto194youWffnssdanf aw wti5*atlbm*YAMf*ap~&7. DesedpUcin of Wait aiF Iswn sprirhk1�16ntkHow prevar6�rr must iLSE licensed pllimbPr. if fir5f tirrle Aid nrliSt l�fi $CerlSed eiectd�n. �s7meu liStGhscfarfsynameorG�yofFtCo�its ag sedrldan Piumber Mania Pom OVW I hereby aduivilmige if>r3t I have read ttfls appkadtton-and tfhat the above 1nFanrraon is complete and cMTaJL I agree ro minply wM all mwAn=w1s contained herein and city wdharims and AM taws regihla M bffNng mstrucftL E knwthat a p is nhse vafld h�l# � b Tomes Bahr ans0 tssmeri. 's:f/aw+.IftUethings.ccmrfuuny-church-srgnMurn -source WU&u&FLmedim-Facebook Page 10 of