HomeMy WebLinkAbout6445 GARRISON CT - APPLICATIONS - 9/3/2013AUG/28/2013/WED 03:51 PM DELTA MECHANICAL -NV
FAX No•702-369-9578 P•001/002
FortCallins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970 416-2740 Fax 224-6134 (6r c))
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning.
p Demolition (interior non-structural) ❑ Electrical Alteration (not service change) 17 Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler Q Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photovoltaic
Q Ventilation Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application, Incomplete applications will not be accepted.
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Job site Ad ess (required)
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City of Ft. Collins Sales Tax # Are you paying taxes here or by report? Here ❑ Report
by Are you paying with your trust account?, l+ as ❑ No
sales ? be requiied all contractors
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Is this a residential or commercial project? }Residential ❑ Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is It: ❑ Bank ❑ Bar ❑ Church .❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building so years of age or more? ❑ Yes �kNo If yes, you mayneed to contact Historlc Preservation
If this is for a demolition permit, what year was th building constructed?
Ifprior to 1975, you will need an asbestos assessment to submit with Mis application.
Description of work
*If lawn sprinkler/backilow preventer, must list licensed plumber. If flrst-bme A/C, must list licensed electrician.
Subcontractors: List the company name or Clty of Ft Collins l/tense ,0
Electrician Plumber Mechanical Roofer Other
I hereby acknowledge that I have read this application and state that the above Information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued, r\
Applicant: 1-1rC �ti �/1
Print Name: f"� "�
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