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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 VL-nw&uj, DeveknuvwInt 8 TrOMPartmidda 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 i Application # Date rff Adfteps (mq&*W) .IC& Sft uAw of Co"Obuction (tabor, mate"" MW :property Owner Name Address 7jp Phone -i')V) Moe **flan Name Address C*O -4-nm SVA1t1in0___11LVA 'n'? 0 ODD h7zrrfter�l Address zip one A.VL 9 1 1 W or by repat? l2rKere 0 REP= :contractor City of R. Cdltrm Sa Are you paying taxes here C Are you paying wiW your VLGt aLwunt? "es 0 No 11[54es�i a Commeroal ITS M a residential or Comn,=M PVPft7 is it tr_5inoa Family DebKkwd 0 C,,nd~twme (,.;-Mle faMAY a=hed) C3 DtOex a MMmily (apartment) D Wage us it 0 Bank 0 Bar (3 mind [I Hotamov C, me" offhm 0 Ofte C, om D ReMur= 0 Offiff (OcreM) Is M b19[dins; 50 years, of age or tnore? C3 Yes >Lfto jyya!priv maj, /Tond AD mli� 'rf this is for a dernaliln= Perrnk w1vt yew was Wflang oonswemd? tv 5T&fl* w* ffids apphead&Z Brpw 4) 194 ym tw& 1wedan jsNN= 11X2ff5Wj*FW WC M16t list kmxd el den. ]am sodweritedftw RWW gjL4 Mu. I agreeto I hLebr adjXAvtW9z that I have read efts apoketiork sad ztn the aboYe LilomuWn 15 QDW*W and comet CoMay adffi as reqUWWm= a)M4a1rW.d?WJCJP &Ad dtY Qf0"f'= WA state tows reoLhting WidiM con7jucgon' I k*W that 13 permit is not valid until it 11W been Paid WW hatred. �,A#jcant. A - ;Printftne, itN IVIR!4"'