HomeMy WebLinkAbout3013 Stover St - Applications/Air Conditioner - 05/05/2020�t of
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Application # 1,/L,o 6 LI -j
r
Date Received ✓ c�-u
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address 30 13 i:J"V!?
�Y • (/OAAY]i l (/O b�(/)
s City/State/Zip
Property Owner Information
Name ���in Phone Number
Address �J . ItVW (I)r�� U)W LO WSJ
Scope of Work
(PAir Conditioner 0 Minisplit
0 Furnace 0 Boiler
31(U•�1a3 -ss 10
City/State/Zip
0 Water Heater
0 Other:
Contractor Information
V 1 1 per''
Name 1nt 1MYACJAil1 0
Company V t 1� aq/lrl �
License Holder License Number
Electrical Contractor Information (only required for first time AC install)
Name
Company License Number ME-