HomeMy WebLinkAbout6318 Buchanan St - Applications/Air Conditioner - 09/09/2020t
PbmdrsA, Develop nad • Trarapwtol7ion
It15201 N. College wrt co, CDAve 80524.0. Box 580
cotes,
Phase 970416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application Is to be used to apply for do roNowing permits only (check aB that apply). O Air Conditioning
O Demolition (InWW non-u ctwal) O Electrical Alteration (rot service change) 0 Gas Ughter 0 Gas Log
O Hoeft Unit 0 Lawn Sprinlder 0 Mobile Home rephoement 0 Roofing 0 Sewer Line 0 Pholo-voltaic
O Vey 0 Water Heater 0 Water Line 17 WooditMet Stove (must be EPA certified, provide make, model and
manufacturer). . ' ,
Cocnplate aB applicable IMommdon on the appileatim. Ineompieta appBeatlone will not be accepted.
APPIkatioII * b1b16736-/?,?6161501
Date 5�'- S 1 -vZO ��
lob site Adldn (nwW
Value of Canbuction (labor, rnatadeis, profit)
Properly Owner Name Address
aty/State Zip : Phone
Applicak Name Address
4ty/State ZIP Phone
Contactor Address
CItY/state ZIP Phone
wed r
3
.,Vg-
Cw&acw City of FE cow Sales Tax #
Are you paying taxes here or by report? Ai Here
0 Report
521%.� -filky edhyarwrwacrms
Are you paying with your taut account? O Yes
O No
Is tints a residential w projed? 04AWMU O CUrawdal
If residential, is it: bAngle Fw* Detached 0 Condo/WMftme (single family attached) 0 Duplex
(apt) 0 Garage
V Conwadal, Is It: Bank O Bar 0 ORndh 0 Ho"Notel 0 Medical office 0 Office 0 Retail
0 Restaurant 0 Other (e #iin)
Is this bulld'ahg 50 years of age or more? O Yas O No Yyea, yav may need te conW HLstbr/c PArral/an
If this is for a damoNtlon perrnik what year was the buNdmg oor►sbuftd?
IfpnbvAvl973, yorrw9/nreedanaas�r�eotd�srr8vr#1wi�hthCsappflra6l?n.
Description of worker/��.r
*If lawn syrinida/baddlow p eventer, must Rst YCerhsed plumber. If first-time WC, must list licensed electrician,
Subcontractors: List the cc+npanyname or ay ofRCAWw /1C7wm -f
6edrid. P1wVw Mm hwkW Roofer. Other
I hereby adurowiedge that I have read this application and state that the above Informatbn is complete and Correct. I agree to
Comply with all requirements Corntalreed herein and tity ordinances and state h ws.regulaft building constradion• I know that a
Permit Is not valid until it has been paid and Issued.
Applicant:
Prkd msm
Data I -AO'
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