HomeMy WebLinkAbout1004 Parkview Dr - Applications/Air Conditioner - 06/01/20209Vodii& 0ewiopment a Transportation
201 N. O MW Ave P.O. Boot 580 !�@1
80524
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Phone 970-4� �2 Fez 2246
OVER-THE-COUNTER PERMS ONLYI ,
Thia apWRcation lato be used to W* for Bn %Bowbhg pwmft o* (anab aB MM apply). 0 air G 8
O DemoNBon (Interior tw 4tructurel) O Electrical AfWatieion (not service char") 0 Gas LWft O Gas Log
O Hea ft Unit O Lawn SptMer 0 Mobile Home replacement O Rooling 0 Sewer Line 0 P'holo-voltaic
O Venlilofion 0 water Healer O Water line O WgWPeW Steve (must be EPA ceMed, provide make, model and
marhufec4aer} .
Complete a8 applicable, Information on the appficotlnn. Iteta appBcadom will not be accepted.
Ap >�, 32�(�1�4d r�l 1 Date �a�/ace
rwalhiae race ardy
Sob Spa Addnari (repaired)
VWW of CONSINUdion (later, nntelals, FOR)
I-y each.
Property Owner Name Address
aLY/Staee Zip Phone
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' e r F4h5a5 q7o 25 6%
Aad
awmft z "Me'.
Cah BCC Address
CtylsM ZIP Phone
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Cw&acW M of FE Collins Sale:.Tax 9
Are you payrhg taxes here or by report? ftf We O Report
34re "r Aff& iadlya/ameacias
Are you M" with your that account? O Yes O No
Is this a msidectisi or&mmercW prgject? ,j(ResidenlW O Oocmhacat
If resider tial, is it: 1SirogFamily Detached 0 Candoltownhome (sM* fam8y attached) l] Duplex
13 Mulfifa * (apartment) 0 Garage
If commercial, is It: 13 Bank 0 Bar 11 Church 0 HoW/Mobel 0 Medical office 0 OBice 0 Retell
0 Restaurant 0 Other (¢Main)
Is this buYdithg 50 yaara of aye or mote? O Yes O No ]fyes, )vu may need La chMfW Hisfo k Plh'servabrar
If this is for a darn Me panh>at what vear was the bdift constructed?
Ifpi* rto 1975,, you wil need an asshssneirttosuOrryt no A&
Description of work
*If fawn WkMwlWddbw preanth'r, must it tioerhsed plumber. If fkst-time q/c, mast list licensed eledWim.
Subaorstrsetom, List the wvny W name or Qty afR Lial w Lraeme 0
tsemda� !- w► b plurbw Roofer pther
I hereby adaawledge that I have read this applkabon and state that the above iMormatim is cmviete and correct. I agree to
comply with all reghdrernents omxained herah and city ordbhances and state Iaws.regulatkrrg buUng mgruction. I know that a
pen. Is not valid until it has been paid and issued.
TWO W—, WN , W�