HomeMy WebLinkAbout2726 Sykes Dr - Applications/Sprinkler - 05/19/2020r-Of , tins
of
ftnning,
281 N. 02lege Ave P.O. Box SSD
Fort Goiifns, CO BOS24
Ply 970-416-2740 Pdx 224-6134
OM-THEPCOUNTER PERMS S ONLY
Tlr* on b to b9 used to apply for M& followblg peamlte only (rbclr all 00appfyl 0 Air Cmtdfiioning
0 Demolt6on {interior non-etruc ml) El Elecumw Alteration (not SWW dirge) 0 Gas LW bw 0 Gas Lag
0 Healing Unit XIM Sprinkler 0 Moths Home mpW meat O Roofing ❑ Seer Line ❑ Photo-vattalc
E3 VentilMon 0 Willer Heater 0 Water Lin® ❑ Wood/Pdet Stove (must be EPA aedl&W, provide malts, model and
rreHruArgduTer).
C01000 all applh:able IMbmradon on She application. InaompleLe aopncadons wM not be
Apprtcmn #- 0'Z aVI Ga4 pate -- -G, - (� - 90U
For afte use ern•
3qb Wt,a Addt+w (J f
Vwue of (Tabor, Ma)
Property ir Address CItY/s ahs Zap Phone
y8oi GowAi.w al. 1=..'44'4 !� xos-es
Applftmrtt name Address
lo-lSe.Re �opev/!3 S2! i�ri.1
CRY/gate ap Phone
�.✓!..//.+•e f?o—ZZ7— fo3d
CaftctDr Address
I'Lf /.r// /—'.,o%v
aty/State 21p Phone
to AO-9—A—
Contractor City of Ft Collins Sam Tax #
Are You pay" totes here or by tort? 0 Here 17 Report
.9Afes arrnenU m Ayaownbacom
Ate you paying wm ym rust aunt? ❑ Yes 5440
Is this martial or mmmerdal project? i$ Redderttiel 0 Commefdal
If residential, is ft: ArSingle Family Detached 0 Condo/bw home (dngle ft* attached) D Duplex
0 fttlFamlly ( ) 0 Gafap
of comrnendai, is it O Bank 0 Bar 0 anuth 0 How/motel 0 MWcai office 0 offloe 0 Rail
0 Restaurant 0 Other (mrplain)
15 tits trullding Soyam of age or more? O Yes Oft dyes, yw may new fu cm0a mmm P/ewVaffm
If this is ibr a denudeaon peretit, what year was the twtidhV cormtructev
D'fffarfo1975,youwSnwdana0ftt7sassr rnentmwhWtwuhth/s4qW=tm
Description of work +B %✓ rlr�wAor
*H latm WMft1badu m per, must list fleenwd dtrrdaer. if fire time A/C, must [Ullmnsed deter.
Subcwhudmm rust the axmpsveynxw or afRafiv /
ap ov , t:oaft ottr�
I hereby CBE that I have read this apron and state that the above rnf ornmion Is mmpkem end correct I agree to
oompry with a0 requtremetds aontalned hwft and ft ordUn= and state taws reguhaft butlding eensbudton. I know timt a
f N pat vaf�i tarrPfl tt Terse been paid ttt� lssped.