HomeMy WebLinkAbout1531 Peterson St - Applications/Plumbing - 09/17/2020City of
F6it Collins
Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Application # W61 Q(0(1C
Date Received -I . 1-7. Z JL O
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address L
Address 15 _ ,I a�r� i'1 S—q-- City/State/Zip
Property Owner I formation
Name Phone Number
i
Address City/State/Zip
Single Family Detached QTownhome (attached) Q Duplex 0Apartment/Condo O Garage/Other
O Bank O Bar O Church O Hotel[Motel O Medical Office O Office O Retail O Restaurant
Value of Work
Labor and Materials $
xope of Work
p Sewer line replacement / new
O Water line replacement / new
Q Gas line replacement / new
Q<Other plumbing work
Additional Information
(if applicable)
Plumbic
Name
Addres
Phone
LicensE IVUIIIUCI v w .Ji
Feet to be replaced / installed
Feet to be replaced / installed
Feet to be replaced / installed
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