HomeMy WebLinkAbout931 FOSSIL CREEK PKWY - APPLICATIONS - 10/20/2011From Affordable Roofing Inc 1.970.207.0289 Thu Oct 20 11:57:49 2011 MST Page 1 of 1
Ave Ptaraure, �" � Sra�'
of 281 N. Cot Ca 80524 ity0 dox 580
Fort COW
� a 1 2740 sax 224 s�3a
��j�+ twi'ER PERMrls ONLY
OVER
if�G�+��' �h5only(d+eakallthataPPly)-O/,rC"^ Onm9
for the (o11,w,re Pa Mar ❑'�� l.�
This appfa�on [s to be used to ij t Alwration (mat sea\4t a cttan9e) ❑ Ges t rl; 0 Phaln-v0tb c
U pemo ajon CFtedor wn•structuraq ❑ P1" a neat CS Roofing 6 facer 11ne malts model and
Fleatirtg Untooit f7 I HS O 0 4V00061let 5MVe (must be EPA certified. Dr e
v rromdociure ❑ YVater Incomplete apPttcations will not be 2 '
Cowie"
abte intos+nabon on the apPltcaation. trtcomP I
_£pipp18U2 211 aGDlic ^, 2 .�� r ;; � 3 � •� o
Application li -- Is. P10%
forallks use «droFCo�!�tructioo (lad«, matrsia .
i3ob Site Address 0)
i1 E, S< f...� sj�� :LJ:, l91v by
:pmpeny owner Name
S Lv ,4 (plGnS I3A fS�`��r7 Pnane
�— Adder City/state aD OODD
iVarttr l ! i i►} Yi1GtyJState ZP Phone
t
Addm�
Contractor
Are You paYiti9 has or by repaAt? Yes O No
.Convactor OtY of Ft. Cduns 4 Am You Daw'g Wim Your trust ac"
.4ltrseirnrm,rMr rm/,�d� mmehaCn'+ �—'�.
�j scsideotial 0 cnmmercal ❑ ouvlPx
Is rhts a �defdal or Single
��ed 0 Cun0Wl0vnhmne f5in�11efamiN attad>ed�
11 residential. is lt• L`j Muffamlh` (apmtnet) 0 Glo� C3 Rebil
If c«rcnuaal, is it:C) Bank ❑ Bar ❑ Ounfi 0 Ho�/'M�
Q p�'xaE ofFF� ❑ ��
❑ Restaurant aln rmed!a '
V trifidimg so yaaa's of aga m mue? oa v o n`yes r+� Y Pra'�r4
'tf tills is for a denonnIn Per"' ",hat year was Meb1 m9 fi r'•
e IlpriLr m 1975, you w19 Med nsL�ss'axs a�-_'-'-'_
— if tS15Ftt1ne A/C, � �
'etecu dam.
'*II iM at winkled o" Pt2t0�, must list IirRn�d 1>1� fir•
ntrperors: lnidw carj^mr trade or OW of i3COlbfKy[P1152
�PIJEOitt___ •—
. 01715 l and mrrPS. I a4r� II)
:1 heFF�Dy adatawted9a that I hav r� the appik-i6m and cb0a tftza the above Intortr®U � . t loww that a
:prmpq, with all raqu"sne'ns er
omomxd hein and aty «d'na,ces and st;ft laws reyubttng
permR is =+os: valid unfit it has been paid and Issued.
APPf�'�
Prbtt Nam'