HomeMy WebLinkAbout3213 Pepperwood Ln - Applications/Air Conditioner - 05/08/2020Flirt Collins
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Application #
Date Received
Job Site Address
Address 3 a) 3 %? p t'y- W 0 0 V \' M 5, bO City/State/Zip 4>m 5 2 5
Property Owner Information
Name .Ci I Vq G y .SG N'A 0 �L � r' 1_I � ICLPhone Number I (z)
Address
Scope of Work
Q Air Conditioner
0 Furnace
Q Minisplit
Q Boiler
New Install
Valuation
Description
(per appliance)
City/State/Zip
O Water Heater
0 Other:
_ Replacement 1
Valuation
Description (per appliance)
Contractor Information
Name M,3aCe-j cj GOC1 Z�/1
Company �) M P m Yg-T 't tG 2 Q
License Holder 'A-yri Vm a �l GQ I30 License Number
Electrical Contractor Information (only required for first time AC install)
Name
Company License Number ME-
City/State/Zip
O Water Heater
0 Other:
_ Replacement 1
Valuation
Description (per appliance)
Contractor Information
Name M,3aCe-j cj GOC1 Z�/1
Company �) M P m Yg-T 't tG 2 Q
License Holder 'A-yri Vm a �l GQ I30 License Number
Electrical Contractor Information (only required for first time AC install)
Name
Company License Number ME-
Contractor Information
Name M,3aCe-j cj GOC1 Z�/1
Company �) M P m Yg-T 't tG 2 Q
License Holder 'A-yri Vm a �l GQ I30 License Number
Electrical Contractor Information (only required for first time AC install)
Name
Company License Number ME-