HomeMy WebLinkAbout1418 Silk Oak Dr - Applications/Water Heater - 07/16/2019City of Planning, Developmen4 & Transportation Services
F�ort Collins Community Development & Neighborhood Services
�-- 281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 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
❑ Demolition (interior non-structural) ❑ Bectrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating UnX%WAater
Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo-vollaic
❑ Ventilation Heater ❑ Water Line ❑ Wooffellet Stove (must be EPA certified, provide make, model and
manufacturer
Complete all applicable information on the application. Incomplete applications will not be accepted.
Apprication#
5oroltfcetar only
Date July 16, 2019
Job Site Address (hquired) Value of Construction (labor, mata als, profit)
1418 Silk Oak Drive, Fort Collins, Colorado 80525 $2057.00
Property Owner Name Address Gty/State Zip Phone
Debbie Cox 1418 Silk Oak Drive Fort Collins, CO 80525 970-227-5888
Applicant Name Address City/state Tup Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contactor Address City/State ziP 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
sates tarnumberLen*&vdbya#mrr Are you paying with your trust account? Yes ❑ No
10010
Is this a residential or ammeraal project? Residential ❑ Commerrel
If residential, is it VSmgle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamiy (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant M Other (explain)
is this building BO years of age or more? ❑ Yes ❑ No Ifyes, you mayneed to avntactH/storicPresPnabbn
If this is for a demardion permit, what year was the building cvnsbucted7
Description of work Ranows •. sting (2) W/H and rVince with n film WIH 2 of 2
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*If lawn sprinkler/baddiow prevenber, must list licensed plumber. if first-time A/C, must list licensed electrician.
Subcontractors: List MeaupwynameorWofftCo2nsk5we#
6echriaan Plumber Mghanical Roofer other
-
I hereby acknowledge that I have read this application and state that the above information is Complete and Coact I agree to
empty with all requirements contained herein and city ordinances and state laws regulating budding construction. I know that a
permit is not valid until it has been paid and issued,
Applicant: ChCivri�icv�hnav Print
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