HomeMy WebLinkAbout3213 Pepperwood Ln - Applications/Water Heater - 05/13/2020City of
Fort Collins
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Application # 1f1w 1 —ty z
Date Received 5� 1 ✓ ZC)
ALL information is REQUIRED. Incomplete applications will not be accepted.
.. Site Address
Address
Property Owner Information
Name �ZT/�/� ��naAn,/� � q�Y got 1`��{-I/ (1�nn _ Phone Number ' W 0 t01
Address p �V 1) `V Y �� Ul V V V V City/State/Zip
Scope of Work
0Air Conditioner
0 Furnace
Contractor Infoi
Name
Company
License Holder
0 Minisplit
0 Boiler
Electrical Contractor Information (only required for first timeAC install)
Name
Water Heater
0 Other:
License Number QJ ✓�
Company �A M AM- ' L� DAljP -Y `�� (� 1 icenUe ME- �i 1
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5.13Z0
Date