HomeMy WebLinkAbout4342 ARCADA CT - APPLICATIONS - 10/10/2011I
From Affordable Roofing Inc 1.970.207.0289 Mon Oct 10 09:50:50 2011 MST Page 1 of I
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City Of 281 N. C41ege Ave P.O. Box SM
C --tcollins Fort Calris, CO 8D-524
'n F. phone 970416-274o Fax 224-6134
OVER-THE4=11TER PERMITS ONLY
dw k PP1Y - 13 Air Condiboning
T 0 Gas Lighbar 0 Gas Log
, hft application is to be Used to apft for the following Pam 0 (Check all that a
P Demolition (Inferior non-sUWuMQ 0 Elechwal Aacralion (not senace change)
0 Heating Llrdt [I Lawn Sprinkler U MokuLe Home m0cvne'A 0 POOft 0 Sewer Line 0 phoin.-voltaic
[2 Vej*WUC0 (3 Water Heater' 0 Water Line 0 VVood/penet Stove (must be EPA certified. Provide make, model and
M2rKJ1VChUW). onr will net be acceow.
Complete all WOMM1310 Information on the aPPROVIlon. Ineamoliete, agmtcall
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Application # Date
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:contractor City of R. Cdltrm Sa Are you paying taxes here C
Are you paying wiW your VLGt aLwunt? "es 0 No
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a MMmily (apartment) D Wage
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D ReMur= 0 Offiff (OcreM)
Is M b19[dins; 50 years, of age or tnore? C3 Yes >Lfto jyya!priv maj, /Tond AD mli�
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permit is not valid until it 11W been Paid WW hatred.
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