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HomeMy WebLinkAbout4130 SPRING CANYON CT - APPLICATIONS - 10/10/2011From Affordable Roofing Inc 1.970.207.0289 Tue Oct 11 00:03:14 2011 MST Page 1 of 1 Cityof Cup i Phoadets Devalspnwat 8c Trintspaetaion 281 N. Colfecje Ave P.O. eor 580 Fort COAbhs, CO, 80524 Rwna 970416-2740 Fax 22+6134 OVER-THE-COUNTER PERMITS QNLY 7hia apptM.ation is to be used to apply for the Ibtiawtng penn7m only lehock all d' wt apply). Q Air Gardifi�ng t] Oaneolftn (nuerior non-sbtictura0 O Etecbicel AllaraHai (not setrim change) O (ias UOhbw rl l`.aa I.00 LIHGONngUnk ❑ Lawn SprinWer O Mobile Home molahoerhem ❑ Roofing ❑ Sewer't_bte a phcbD- &dc a Ventilation O YLbter Header O YM w Une O Wt Wlpalwt Stove (must be EPA cw Wed. pmhdde make. modal and. manulachu". GOMPAM ell alan9eaabis Wornmaafiion an the application. Incomosat# appflcatians wilt not be eaeeoted. AWicaUun A' N / Q V/� t) Oa . Fivamr-aw dry 'pan site Addnem Veate of Catlstrucwn @Lbw, mabdals, profit) ...—� 7. ` `r ,mil _ :''' i.i�ir tY` <' •. •,vi.- Yownerkame.J J Addn= aty/State ZIP (' Rhine 0 :'t. AWiimntName Address oH/stabe f+'• b((rr73 .Ztp WS95 Phone l rP .k tit .rAoO ;107')Obb 1ContraUor Address 0tv/staba 2jp Phone 114-(-fir?fAMjt/R,CDb,�4 It �Cbnbndor Cam' of FL W hus as Ave You paying W= here or by mBpoct7 lfere D ReMFt I :'sass a+.,r aedrrb,.t aadcs•'aawrAa wu. Anti qou paying wWt Your uUt act0auR4 1p � 1:I NO i � is thl5 o ieptlentiat or wn n erdal proj=a denial O Commerdal ^IF residential, is it DM,0eFeff6yDeWdied 17 CaW w1awnbome (Woe r mAY attached) C owl& G MuYNmiN (awtff met) Q Garage II mrmnercial, a& O Bank Clow O Church ❑ ttotr{rMOW C2 Nediml OWfoe O Office O tZ�il - 0 PWWurant 0 Other (eKplahs) is this buNng 50yeam otage or moo? ayes % lfyas, yhwrmey neh�C'm mnbct Nisarh'cAosers�brr V ttas is for a derno tfon permit, what year was Me bWasg. tunsbuctedp i Vp wIu 197E YW M W need en AFft&V dlL!>•M="t nP Sat mA w10 &W AgOfAw&a* n ofrork zaa i i i *W bwa QwmMvrAnddlaw pre anw, twist list li isuca plumber. u Set -dine n(C, must Apt timreod tlwdrrrimh. '8ubhanrtra�ars rA!2dha GOtrrlN^r'rAan+e a"�aY olRramnilQznseF Bearttlin.... .. . ........ polar-....... ..----Haftwind—PkWw COther I hereby admmwledge that I hawe raid rlhis apolcadon and stgo"at the above 49b mutton is mmWkle and oarreQ. I agree to annpty wtth 24 ta�ntraments ®mined ha Ch hated My ordkm end since 1> m rawkitku binding mhstruhylm. I lmmw drat a pmnitsis poi hWgl utml tt has been Paid and itaueb. i J