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HomeMy WebLinkAbout415 HOUGHTON CT - APPLICATIONS - 5/1/201305/01/2013 09:48 970-50G-2730 ALPINE GARDENS PAGE 04/14 ems.; i < rr�f:^� �C' Planning, Development &Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 Phone 970.416-2740 Fax 22+-6134 -OVER-THS.-COUNTER-PERMITS -ONLY This application is to be used to apply for the fallowing permits only (Check all that apply). ❑ Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Aiteration (not service change) ❑ Gas Lighter ❑ Gas Log Ll Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing E3 Sewer Line ❑ Photo -voltaic ❑ Ventilation El Water Heater ❑ Water Line ❑ Wood/Peilet Stove ,(must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application, incomplete applications will not he accepted. Application #, 13 (3o_ q f?3 Date S' For aft a use only is this a residential or commecial project? jK Residential ❑ Commercial If residential, is.it ❑ Single Family Detached El condDAownhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) Ed Garage If commercial, is It: U Bank la Bar ❑ Church ❑ Hotel/Motel E7 Mediral office 0 Office ❑ Retail © Restaurant ❑ Other (explain) Is this building 50 years ofage or more? . O Yes T No TfyEs, )vumaynee0tb conL!ictHistrm'can5wic6on if &&. is for a demolition permit, what Year was the building constructed? Ifpdor to 194 y w w7/need an asbestos awassniwt to subm/t wrih this apphi2don. Description of work *if lawn sprinkier/backnow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors; List MerompanynameDrGtvofMCo//lns1102W0 BecDidan J —_ __— PlumbRr A4e—,�Q�JrMedmnimj RooW Other I hereby acknowledge !fiat x have mad. 0ds application and stale that ttte alcove information N complete and correct. I agn:e to comply with all requirements contained herein and city ordinances and state laws regutaW bull ling consbucliDn. I know that a pertnft`Is norvalid until it hit been paid'and lsstued: " /