HomeMy WebLinkAbout6107 PARAGON CT - APPLICATIONS - 10/11/2011�OF' COM5
Planning, Demrelr PRKN* Sc'iraosportatlon
291 N. Callege Ave ' P.O. Boot 580
Fort Cdlltmsr CID SM4
Phone 970-416-2740 FaX 22+6134
OVER-THErCOUNTER PERMS ONLY
This application jet* be naafi to apply for the fonowing permks only (dwck all tlwt appal. O Ak CorMcrung
13 DamoGtion (ulterior non shiMaal) 0 eecblcal alteration (not service change) 0 Gas UgMw 0 Gas Log
0 Hea" Unit El Lamm SPdnlder 0 M ile Horror 110 It rnen400lkmg to Sewer Line . O Photo-wMBIC
El V060on 0 Wpter Heater 0 VMSW Line 0 Woodl)OM Stave (must be EPA cartiiled, Provide make, model and
Complete au appncM9 information on the application. Incompleft appikadons win not be accepted.
nvpGcati«, # �1b� Dace
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is this a res 1— H-1 err pmiect7 Arpasklentlal O Con mercW
ff mO*v 1, is lt --R SlnO Fhnay Detached ❑ cAr&VWw nbmw (sln* iarrrdy aMadmed) 0 puplac
E3 n* (apartment) 0 Garsp
V aommen;w, is tt ❑ Bank 0 Bar t] church 0 MowVMoW O Medical onke 0 t]lfke 0 Retail
O Restaurant , O Ramer{ems�;)
is this b A tg SO Years of age or more? O Yes L(We. ffyre; yrw inaynead m naotad /#stardc H ral>ior,
If this Is far a demoilpon permit; what year was the b Ading oon*uct d?
.Ypktr lo 1974 )w wS iAwd a n az9wmwttvstmkrrOMsWdlr
elf fawn spri kler/Wddlow pmmnter, mm>st ttst tleermsed pkMW. ff fusKme A/4 must IM ll &wd elaWklmm•
Subcsnbadw s Lestdte aonrpa�y/mame ar�yofR �aYtRsL�rsr p
I hereby admawledge a= i have teed aft awe r P uan and state that the atwre kftmatison is cmVIete and COMM I agree to
cmq* wtb all rewAenwft oorsaseed Imeretn and dty ordlnanoes and stift taws regulating t WkV apnstru nm. I taww that a
permit is not wFid unW it has been paid and lamed