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HomeMy WebLinkAbout444 HOUGHTON CT - APPLICATIONS - 6/14/201306/12/2013 15:02 970-506-2730 ALPINE GARDENS PAGE 09/11 Planning, Development & Transpoitation 281 N. CAege Ave P.O. sox 580 Fort Collins, CO 8tis24 Phone 970-416.2740 Rix 22"134 OVER- THEo-COUNTER -PERMS-ONLY This application Is to be used to apply for the following permits only (check all that apply). O Air Conditioning ❑ Demolition (interior non-strudural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log © Heating Unit ❑ Lawn Sprinkler 0 Mobile Home replacement ❑ Roofing O Sewer Line ❑ Photovoltaic ❑ Ventilatlon O Water Heater ❑ Water Line 0 Wood/Pellet Stove (must be EPA certified,provide make, model and manufacturer). .. - Complete all applicable information on the applicaEon. Incomplete applications will not be accepted. Application# iJ�3��� Of Date U`(`I-13 rse 3obbSiite Address OWL& v Value of Construction (labor, materials, profit) , Properly Owner Name Address Ary/Sta4e 7rp Phone Name Address city/state zip Phone Contractor Address — . wiStab= Tip Phone Contractor City of Ft Collins Sala Tax # Are you paying taxes here or by report?'KHere ❑ Report saiesby�l®,o- Are you -paying with your trust account? ©.Yes No 7s this a residential or commercial project? A Residential ❑ Commemdal . If residential, ts.it . O Single Family Detached ❑ Condo/townhome (single famity attached) 13 Duplex ❑ Muhifamily (apartment) O garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church O Hotel/Motel ❑ Medical oMm CI Office ❑ Retail ❑ Restaurant O Other (explain) Is this building 50 years of age or more? .13 Yes X No dyes, yo nWm5ed is con H/siodcPres�rafion If this. is for a demolition permit, what year was the building constructed? 1fp174r m 1923, yvL W//Medall aSbZWs as5e5vne7t m suborn Aft fbls appfrption. Description *If lawn sprinider/baddlow preventer, must fist iicertsed plumber. If first-time A/, must list Ilcerised elediidan. SOmnbactors: L& MecampaoynamearCrvofftCol6nstano0 Fledridan Plionter)Oe• Medianimt R 0ft other I hereby acknowledge that I have read. this appllatian and state that the abow information N complete and correct I agrea to . comply with all requirements cantained•herefi and city ord'urances and state laws reg bulid ing Construction. I brow that a parmi is n6tvalld Until It bees paid°aAd'lssudd."'` ��^�