HomeMy WebLinkAbout3407 Avon Ct - Applications/Air Conditioner - 07/09/2019City of Planning, Developmen4 & Transportadon Services
Fort Collins 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). r Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Afteration (not service change) ❑ Gas Light Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # ?-) I qD y z (Q
ForalTr¢ cue only
Date Tuly 9, 2019
Job Site Address (regrmadJ Value of Construction (labor, materials, profit)
3407 Avon Court, Fort Collins, Colorado 80526 $5373.00
Property Owner Name Address City/State ZIP Phone
Patricia Stoltley 3407 Avon Court Ft Collins, CO 80526 970-206-1202
Applicant Name Address City/State Zipp Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address aty/State Zipp Phone
Allen Service 1015 Link lane Ft Co, CO 80524 484-4841
Contractor City of Ft Collins Sales Tax # Are you paying taxes here or by report? ❑Mere ❑ Report
bWa tax =ibertsre7u edbya# Are you paying with your trust account? Yes ❑ No
10010
Is this a residential or 5pmmerdal project? Residential ❑ Commercial
If residential, is it IM Surgle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartrnent) ❑ Garage
If commercial, is Fa 13 Bank ❑ Bar ❑ Church ❑ Hot d/Mobit ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Ifyer�, you maynesd to contacthtta* Pre wmhLn
If this is for a demoiftion permit, what year was the building constructed?
Description of Work Pp ""s"rgACaArepham"Gke�AC
*If lawn sprinkler/baddlow preventer, must list licensed plumber. If first-time AJC, must list licensed electrician.
SubcontraL& the avpWnawe or Cilyeft L Wtu himme 0
Beciridan Plumber Mechanical Roofer Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct I agree to
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, Q�
Applicant: Christwha.Evamll [/I�.Vt/ll'� 1 Print Name: SignatureDace
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