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HomeMy WebLinkAbout1418 IVY ST - APPLICATIONS - 9/13/2011Sep 13 2011 7:08AM HP LASERJET FAX p.3 `r t olUnS N�° AvepaaP0 k tlen t� fat CWkns, CO 80524 © (� —I� ! _ O -) phone 970.416.2740 Fax 22"134 {`52� OVER-THISNCO'C LINTER PERMITS ON O DamolThis �(Interior M to be used bs apply for ni. iouowl LY ❑ Messrs thllLawr�-arruoturai) O E1a�osl Alfora f ( � k NI that ap 10. l3 Air Condilblong Sprinkler 17 MGM& Hans rePfaos (nos p gs) CI Gas Lighter 13 Gas Log 0 nufa ation O Water Heater q Wad. Line O W ood/peilsf oohng hewer LMe O Photo-voltdc manutscbne�, stove (must bs EPA Cenl%d, provide make Cotrkpls0e all aaDN le IMonrtatlon on the � model and Application # p °po atk Inoorwphte avpNa•tt....- tivfll not be eooepted. rercam &Wa-ky DaW . 9 /. (, Job Ste@ Adtiteu (fiVu& O . , _ Property Owner Name Name Contracbtr UC #Z,( Cvn"CCor MY of Ft. Collins Seles Tax # .fib mr ixnar•isnprlsOAi;.s' aai�sct+ax value or Cott (labor, mebweK v&jt) Address atY/sute 21p ftft Address aty/Shft SoS zip Phone Address Clty/Steee ap Phone Are You paying tam here or by report? qp6m p Report Are You paying with Your trust amotalt? 12 No Is this a mddentlal or I pro)0�� denflal O Corrrnerdek If r�esldenlial, Is it sln�e f�nuly Detached 0 Condottownhome (Sir$& fa 13 MuRlfemlly (apaMftnt) O Garage Y attached) O rkrpM= If commer[W, Is It. D Bank CI Bar 0 ourch D HoWMoW 0 Medkel oflioe O O"Ice. O ROW Is M bid C RaeWurant t3 Other (explaln) If this Is ff rad@taea~ or morel G Yes 17 No lYN4 PVU nay c>7v cth,�liovte lelsn need an ,what year was the building J/pr/or b 197Jj. )qu w�0'ne d An as�desYe�r a raently ftpr�►j *11 kin milslbWdlow preventer, must list heated plumber. it ftw-tlme AlCo must list Ilarsrped &%Mdan. Suboontra9or@s List aYlb a" asey 4Ww ar OrY o!R 070W &CMe s Pluneber I hereby adawwledpe that I have need this spPlkatlon and steps that the above krionnetion is eaepbbe and Coneet I spree to pPen" t�not n114 has been Paid and tas�u+ed.lnances and sb0e laws royWpthry building aDneWrdlon. I know that a Ap➢ikm* print Nano: srvn@!nn .?/13/ .l1