HomeMy WebLinkAbout3384 Gunnison Dr - Applications/Water Heater - 06/10/2019" .... Planning, Developme4 & Transportation Services
"S Community Development & Neighborhood Services 0M 281 NodhConegeAvenm
Fort Win% CO 80524 Main: 9M.4162740 Fax 9MM4.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for dw following permits only (checir all um a").17 Air Conditioning
13 Demolition (Interior non-u 0 Electrical Almon (not service change) D.Gas Lighter o Gas Log
❑ Heating Un1 0 Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing E3Sewer Line E3Photo-wftaic
❑Ventilation 94.Water Homer a Water Line O Womweim Stove (must be EPA wtilied, provide make,` mode! am
and
manufacturer
Complebe•all applicable infomration on the application. Incomplete appti ons w ti not be accepted.
Application 4 e) f '"' 0.C-10 � � Date
Foralii�eresz'an/y .
Sob Site Address (egnlW Value of Construction (habor, mawkils, per)
31&q1-7
Property Name Address GtY/�� Tip Phone
nt Name Address _ /State Zip Phone
Contractor \jWdress city/State zip Phone
� �a3a I DPiv► Sow 3 -
aOda 7RO 2q 3c8-29U-5'7&5
Contractor City of FL ODMns Sates Taos d Are you paying taxes here or by report? 2rHere O Report
sags raxnvn5WesregrAWbyar e r i R n ctrAre you paying with your bust acccunt?f Yes ❑ No
TS this a residentialH3.1al project? tial E3 Corrhrrtaal
Fa
If residerttiat, is itmily WacOed 13 Condo/twmhome (single fanhfiy attached)O Duplex
13 MWt fan* (apartment) 0 Garage
If mrnmerdal, is it: E3 Bank ❑ Bar 0 Church 0 Hotel/motel 17 Medial office ❑ Office 0 Retail
E3 Restaurant 0 other (explaml
Is d is hdko hg So years or age or mare? O Yes 13No IfyW yrw maynead io m?taah pre w agw
If this is for a dernolitior i permit, what year was the buildhrg cwWUckNP
Description of work
S
V fawn sp uddeNbaddiow prevenw, must fist 9Censed plumber. If first-tinte A/C, niust 6St licensed electriden.
Subconbacftw/&AWmXPnynameorCRY Off tCadins &WW if
tan Mffnber Medrazitcal Rode Other
I hereby adaawledge Drat I have nod ffiis al*katim and state drat the above kftmallon is complete and coned: I agree to
wm* wdh al regWiams is writalned hereth. and city mitt saes and state taws mgulatng h"V o otniction. I know that: a
perndtis not valld mug It has ben paidmW hand.