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HomeMy WebLinkAbout601 CORNELL AVE - APPLICATIONS - 11/6/2012Nov 06 12 09:46a Swan Heating and Air 9706130826 P.1 of F&t colu s Ile Planning,, Development 8cTransport3fiOn 261 N. College Ave P.O. Box 590 Fort Collins, CO 80524 Phone 970-416-2748 Fax �`�4 UPMR PERMITS Q11tLY O R- E-CQ permits only fcheck all that apply)- D Air Conditioning for the following p change) ©Gas Lighter ❑Gas Log This appl�on is to be used to 21 E Eie t cal Alteration (not service ,Non (mWor non-OuCtura� ❑ Sewer Line Q Photo-vo�iC �. S nider ❑ Mob da Home replacement p mum EPA certified, provide make, model and O n9 Unh Lawn Pri p Ventilation ❑ Water Heater ❑Water Line D WoodiPellet Stove ( . manufacturers information on the apgligtlon. Incomplete applications will not be accepted. Complete ail applicable inform A date , Z D 1-2 ppprcaWn # l� a3 " raroiim re only Value of Construciion labor, materials. Profit) Address (ra9uk"O ]ob Site Phone 9-70 Address ) 3 L4U Property Owner Narita = 1'ru Cora i M/S�y phone Address Appticarlt Name phone Cr I O city/statezipAddress � t � • 5 $1 l Cormactor r 7 fl { eport Are you paying taxes here or by CeP01 es D No Cantracbor Gty CoRim Sales Tac Are you paying wdh your trust aoco �tr�rmm�t�g> `badby Residential l7 commercial to famtiy atfached) ❑ Duplex project?Is this a residenal or en Er !edam► ached ❑ rpndc/t�ownhome (sing ff resie �• m © Mullilaml V (apalirnmt)E3 Garage [7. Bar ❑ Church ❑ NobeUMo� D Medlar) office ❑ 08i� ❑ �g If c omrrserciai, s m Durant ❑ other (exP mayReed to tgdbir rnpte? ❑ Yes No Ifyes, ya% Is thus haing So y� � what Year was the buMing mnstructeo 1lcation. If this is for denmr" head to submit uddr thlsaPP ffprmr to 1973, Y Dest r4-fjon of work *If lawn sArinlder/baciQiow Pry, must list Icensed pltunber. It w-affic Ark must M Iil:mmd electrician. SubcogVaMrS. List fhacam) anyMmecrCrtYafRcomnsl/aMsei# ROorerJ Others Plumber �0� � 8edrioaR---�-•= iie6on and state tmnat tyre alcove irhmiaaon 15compim and correct I�� a I hwebY admowlesige v= I have read fibs aPp ulating buttdbg con*ucff m- CDM* with au r�rem"?� ommhma herein and dry ordinances and state laws rag permit is net vafld until it has been paid and l f1•�-ZC.�iZ_ ApplicaM Print Nam