HomeMy WebLinkAbout1214 Cascade Ct - Applications/Furnace - 03/29/2019City of planning, Developments & Transportation Services
Ford Wlins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main. 970.4162740 Fax 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
emoltiion (interior non-structurao ❑ Electrical Alteration (not service change) [IGas Lighter ❑ Gas log
Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater O Water Line ❑ WoodlPe]let Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # b i g o I "I Zit
rwalfiae tc a a*
Date March 29, 2019
Job Site Address (Ampiked) Value of Construction (labor, materials, profit)
1214 Cascade Court, Fort Collins, CO 80521 $5750.00
Property Owner Name Address city/State 71p Phone
Anderson, Mark 1214 Cascade Ct Ft Collins, CO 80521 970-980-1312
Applicant Name Address city/State zip Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contmclnr Address aty/State Zipp Phone
Allen Service 1015 Link Lane Ft Co, CO 80524 484-4841
Contractor City of FL Collins Sales Tax # Are you paying taxes here or by report? ❑ Pere ❑ Report
salstar umiberA;taA iedbyatrM7hZd1QM Are you paying with your trust ac mu t? 10 Yes . ❑ No
10010
Is this a residential or gnunercial project? irResidentiall ❑ Cbrnme cial
If residential, is it: M Single Family Detached ❑ Condo/ilmmhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it ❑ Bank ❑ Bar ❑ Church O Hotel/Motel ❑ Medical office ❑ office ❑ Retail
❑ Restaurant ❑ Other (explain)
Ls this building 50 years of age or more? ❑ Yes ❑ No dyes; w maynead to cDnt cth%txkPlasuvabL?n
If this is for a demolition permit, what year was the building constructed?
Description of Work avrwve exis" f" one replace with like ire,. form
I
*If lawn gxfnlder/baditw preventer, must list hamsed plumber. N first-time A/Cr must list licensed electrician.
subcontractors: List Me tempo» yname or aly offt CaMshhmse #
eechidanafwnbes MechanlcARanter other
I hereby admowiedge that I have read this application and state that the above information is complete and correct I agree: b a
comply with all nalulrements contained herein and city ordimnoes and state laws regulating building construction. I know that a
permit is not valid unb'1 it has been paid and issued,Appri/�' ( `may �j
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Print Name: 5rgniaturre Date