HomeMy WebLinkAbout2609 Conquest St - Applications/Sprinkler - 05/19/2020cacy0f {` Planning, � a -
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tMCotlllns DABW4.0. BoX 580
Phone 970-416-2740 Fax 224-6134
OWA-THEPCOUNTER PERMS ONLY
This Wftason 19 to be used to apply for 00 MWAft psrutra onlY (check atf that q"p 0 Air Cortd bwdng
0 Qertmlifaon (interior non-*ucturaq D Electricai Alterman (not service dtange) 0 Gaa Lighter 0 Gag Log
13 Heeling Urtlt ,rLam SWI kler 0 Moblle Homo replecement 0 Rooting 0 Bower Line 0 Photo4masic
0 Vw tUetion O VJMW Heater O Water Line ❑ WDOCIR et Shove (must be EPA aerdlied, provide,maks, mode! and
rrramdae uar).
Com010110 all ale Intbmudton on the appgcagon, lncontplete apWicaldons will not be arxrevoe&
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Ca Macbor CRY of FL COMM Sales Tax
Are you paying taxes here or by re)ort? 13 Here 13 Report
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Ate you paying with yw Uust aooD W U yes p4b
Is this a residual or commercial pnrjed? )10 Residual 0 Commercial
If residential, Is it: ITStngle Family DebKW 13 C"MINtawnhom (single fancy attadted) 0 Duplac
0 Multifamily (aparmwM) 0 Cgglage
rf wmnwcW, is R: 0 Bank Cl ear 0 Chttt+ch 0 Hotel/Mobd D Mer@cal office 0 office 0 Retail
❑ Restaurant 0 Other (acplaln)
Isthis ttuHft 50 years of age or more? D Yes ,1$•Flo rW yav mayneed to cra►=HsbtfCPrrseva9bn
If t & Is fbr a demon perms, vdrat year was the bWtding consbucted?
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Description of work v K,
*if lawn w0der/baddlow prevmft, must ust &uad plumber. If sit tme AIC, must it iffsed dedrician.
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II hereby admowledge that I have read this apptication and state that the above information Ls ownpEete and correct I agree to
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