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HomeMy WebLinkAbout913 CHEYENNE DR - APPLICATIONS - 11/26/201311/26/2013 11:37 9704612547 City 0f F6M Colons ATLAS PAGE 01/01 Planning, Development 8t Transpoitation 281 N. College. Ave P.O. Box 5811 Fort Collins, CO 80524 ?hone 9704i6-274o Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY This application Is to be used to apply for the following permits only (check all that apply). 13 Air Conditioning 13 DemoCtion (Interior non-strucjural) 13 Electrical Alteration (not se change) 17 Gas Lighter 0 Gas Log ❑ Heating.Unit . ❑ Lawn Sprinkler © Mobile Home replacement: i oonng ❑Sewer Lane [I Photo -voltaic d Ventilation ❑ Water Heater ❑ Water Line 0 V11ood/peilet Stove (must be EPA certified, provide make, model and manufacturer).. Complet® all appilcable lnformatkm on the application. IncoMtete applications wlil not'be aWepfad, Application # /30 6 2 Zq pate fzrrohi� t� anl�. Sob site Address <reauke0 r-, , -- %. _ Value of Owner Name I Address Name C I-15'� R-ID W. U04&' COrftCtar CRY of Ft. Collins 5 l& Tax a 41 � Are you paying Awwfar 4=6ersraxohdbya#am&aeta,S Are you paying yy Is this a residential or 11111 proJea`t e5kientfal ❑ Commerd0l If residential, is rt ngle Family Detach ❑Condo/townhgme (sing Multifamily (aPattrflent) ❑ Garage If cornmei'dal, is it: d Bank ❑ Bar ❑ Church fl Hotelft4otel ❑ Medipl O Restaurant E3 Other (explain) _ Is this building So years of age or more? 13 yes E3 No If^ yw may' If this is Elbe a demolition permit, what year was the buikQAg constructed? IfjAr/cirta 1975, you w/ll neadan a sa nttosudmlt mTh thlsam of work- 3 (tabor, maMna►s, profit) 16SD S" Phone %/ Phone eorbyropow.. ❑ Here ❑ Report 13 No attached) 11 Duplex ❑ Office ❑ getaii JV 1 � :c,< *If lawn sonnlder/baddiow Preventer, must list licensed plumber. If firs 'me A/C: must I (icErrsed Subconbactom: hkimse BwWa i — Mechanical. Rdokf I hereby adCrMledge diet I have read ft appikation and gate that the above it1<amratlpn is h with all requirenrenis contained herein and dry orcl Mnoes and state regulatirrg i Permit is rrot valid until it has been paid and lssued. C i R -Sgnawr6 Il9 � C✓u-t PHnt irlame:� knoto w that a