HomeMy WebLinkAbout417 STARWAY ST - APPLICATIONS - 2/8/2012Planning, Development & Transportation
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OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check ail that apply)• 7
'1 f:Cn-Sl.'::C ='a!'; c:ec:rical .Al:era;ion (not servloe change; _ was' -_:•,'•ter _ Gas ;-
_ !-IBa: ^C ' '':.': - I aV. jpfin:(ic'f _ w10D :E i-IOn`e fep'acement I Roo?Sn.g .�'Cbve' � ne;.
'I ale- Hea er :- Aa:e- L:'te 'dcoec:Pellet Stove %r"US'. ne cert: ie.'. .'.mac ^loee .. _
Complete as applicable information on the application. In complete applications will not be aCCepte O. LI
.application
Date —zLgjj-2—.
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JfobrS`iite Address
� au :e Vail-uee�of Construction
o,co .� 4acress C:. S � A r� y/�•n/I/� '^
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plican: Nn-.- �® YV.� 1d'.0 (�2�3•`�to43
Luke MicKtISbN Y
Ccntraaor 4acress Citv;i5iate ''- r p. 0Q`
Sales 3X Ai :CiJ pal';C!y tdX22 ^2 s Or '.^.+
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_d.< •d ^ `jc!' = orzel, mo.e. E. Imcai Jf:`IC2
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50 years of age Yes
_ .: ° oemolltion perm!.. _. d ., r, y �[. r.. ---- -- -
:Z.•.r 5Cra.. .. �. �<Zr. y...^.C2r, .. .i:5t-:1-"e A:C, ^1:.::..:..
Subcontractors: _;: :'r _.: ?` "a7!e _ -....,;::nj �':'S2 =
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permit is not valid until it has been paid and issued.
know tnat f.
Applicant: ,, 11i, u '' �AA _ _2� a
WfKe �1�k�+N Signatur _��- Nate--- --- -
print Name'.. --------- ..__.