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HomeMy WebLinkAbout820 Merganser Dr - Applications/Water Heater - 04/09/2019Apr 2919,07:14p ellmann service company 970-482-0416 p.1 14 super- ny Ch h Signs e•aouem.y/ w��.q..--•--- _--- �I a281 N. Ca(tege Ave F.O. Box 580 er3n7.s:3i AM Frt]r ® tb ollins Fort QRft, CO 60W.4 Phone 970-416-2740 Fax 224-6134 OVER-THE-C®UKER PERMITS MITS ONLY This application le to be used to apply for the following permits only (check all that apply). 0 Air Conditioning ❑ Denlollfion (interiornon-structural) ❑ Mechtod Alteration (rlotMice change) E3 Gas Lighter © Gas Log 0 Heating Unit 0 Lawn Sprinkler ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo-voltwo ❑ Ventlatimt AiNater Heater ❑ Water Line ❑ Woodiftnet Stove (mustbe EPA cmtfied, provide maker model and manufaolurer). Camph to all applicable information on the application. Incomplete applicatlons will not be accepted. AppllcMon # �b 2`b Z Date ForoA7w raseanly Is this a re9dentlal or commercial project? Wesideital 0 Commercial If residential, is it: 'gngle ram%r Detached Q CondgOi6mhome (single family attached) CJ Duplex 0 MuMnilly (apartment) l? Garage if common ial, is fE; 0 Bank 0 Bar ❑ Church ❑ Hotel/MoW 10 Medical oMe ®OfTire 13"Retati 10 Restaurant 0 Other (explain) Is this bullding 60 years off age or more? 0 Yes Q No Ifye yournayneedia rnnb�HisfaricPr r►�tiun If this Is fare demalibion penny whatyear wasthe building coriftcted? 0pn'arfo1973 youwIgnmdanasbeslosassesmmentiasubrnitwr7fiifilsapplGvbbn. Description of *If lawn spdnider(backfiow ptevantar, mustlistliemsed plumber. If first time Afro must list Seerad eleiiridan. Subcambact0im Larmeearnpanyrrame ar62Y007.Callrwlie2M.r Elecbrdm Plumber - Merltanimt Rmft Other I hereby adamawiedga t imt I hove read this applicatfen end-statuthat the above Information is campleie and miff&- I agree to comply with all requirements cantaihed herein and a'Ly wdInances and state laws regulating building cmi uc6om I knowtirat a permit is rat valid unM it teas been paid and Issued. &Pfft saitta Deltic�� rAs'I/rvww.Ii ethings.CQM/{uMry-Church-9Qnsi?utffLsource letu&uunJnedlumoFacebook ` Page 10 of T2�