HomeMy WebLinkAbout631 MEADOW RUN DR - APPLICATIONS - 10/31/2012Oct 31 12 09:44a Swan Heating and Air
9706130826 p.1
of
FiCity. Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 97D-416-274fl Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). r Conditioning
❑ Dft6lition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
Eleating Unit O Lawn Sprinkler ❑ Mobde Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Vent:i1ation ❑ Water Heater ❑ Water Line 13 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufachuer).
Complete all amlicaab(ble Information on the application. Incomplete applications will not be accepted.
Application # J I S(p ` f' -Date l 0 • 7-3 1- 2 C> 1 0-51
AV now Irm-0 nryv
3Zb e Address (raqvL d)�
Value of Consbuction Qabor, rnatetals, praIM)
`
Property Owner Name Address
City/State Zip
Phone q�(�
6 �t t&
P�-.
I
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Applicant Name Address
City/State 7jp
Phone
Contractor Address
City/state ZIP
Phone q70
}41
Color City of FL s Sales Tax
Are you paying twos here or by mart.?
Areyou paying with ym8 trust account?
❑ Here . uleport
0'16 ❑ No
salesbxmpzWtspW&Yhdbyaflmriftar=
Is ths a residential or conjawraall project? t'Residentiai ❑ Commerdal
If residential, is it-_ CR Shoe Family Detached ❑ Condc/townhome (single family attached) ❑ Duplex
0 Multifamily (apartment) ❑ Garage
if commercial, is it: ❑ Bank ❑ Bar ❑ Church 17 Hotel/Motel ❑ Medical office ❑ Office ❑ Rail
❑ Restaurant E3 Other (exQlain�
Is this tivfld'ing 50 pears of age or more? O Yes [ a If yes, you awned to c FatthGsmrfcPAsservaflan
Ifthfs isfora demolition permit; what year was the buiidmg constructed?
IfpMarto 1973, you wff n&W an asbe�sassessrnenl [p�ubmitw�► thls applkaliorr.
*If lam spnnkler/Iaddlow preventer, nub Qst !'scene! plumber. If first tare AICy must Est UM nsed dectrfdan.
SubemMuctom L& the company name orGtyafFtca/Gnsfkense
6ectrician
Pt Mechanical Room Other. -
I hereby admoadedgethat I have read MappliaWM and state that the above irdwriallon iscomplete and obmed: Iagree to
eomplyvM all nequinanents cDntaured herefn and City ordinances and state laws regulating building cnnstructim- 1 knewtlata
permit is not vand until it has been paid and Issued.