HomeMy WebLinkAbout1713 Eastwood Ct - Applications/Air Conditioner - 03/29/2019City, of Planning, Development; & Transportation Services
�rt CotlinS Community Development & Neighborhood Services
� — 281 North CoVege 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 app[y).Air Conditioning
❑ Demolition (interior non-structural) ❑ Dectrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Petlet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #.
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FaraJitte me only
Date March 29, 2019
Sob Site Address ftgdrad) Value of Construction (labor, materials, pmfit)
1713 Eastwood Court, Fort Collins, CO 80525 $7521.00
Property Owner Name Address GLy/Slate Zip Phone
Mann, Frederick 1713 Eastwood Ct Ft Collins, CO 80525 970-493-5215
Applicant Name Address city/State Zil) Pion
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address city/State Zipp Phone
Allen Service 1015 Link Lone Ft Co, CO 80524 484-4841
ContradDr City of FL Collins Sales Tax # Are you paylM tames here or by report? ❑fie Cl Report
sakstar nrunberA;M%m<,rdayaematracWM Are you paying with your bust account? IfYes ❑ No
10010
Is this a residential or pmmerdal project? Residential ❑ CommerQal
If residential, is it `� Single Family Detached ❑ Condo/townhome (single familyr attached) Q Duplex
❑ Multifamiy (apartment) ❑ Garage
if commercial, is it ❑ Bank ❑ Bar ❑ Church ❑ HoftVftLel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 5o years of age or more? ❑ Yee ❑ No Ifyes, jw maymeed m conh&lfi t%* Pfesembnn
If this is for a demolition pmmk what year was the building constructed?
Description of work °ui ° exist* AC and replace with like" AC
*If lawn sprinkler/baddlow preventer, must list licensed plumber. IP first time A/Cry must list licensed electridan.
Subcontractors: LbtMecmpwynameorGtyoff tca0 y&mse#
@ectridan Pfu nbw Medmlmf Roarer Other
I hereby acknowledge that I have red this application and state that the above information is complete and correct. I agree iD
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.Applicarlb /� / ` (' -y��
Print' Name: Chri6�ula��vavls Signature IVr tt Vl l .Y `v Date �J—
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