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HomeMy WebLinkAbout913 EDWARDS ST - APPLICATIONS - 2/24/2012Feb 24 12 10:40a Apex Gutter 9704842883 p.1 CttyOf o Cottins importPhinniMIDOWdOPIVIIIIIIIation Ave P.O.. B&C SM rjNt Cis. Co 80524 Mmm 970.416-2740 roc 224-e134 OVm-THE-COUKMR PERMITS ONLY This appucgfioe is bo be used to apply for the fo&mft penaft w* (ctmmk an that apply). 0 Air Conditioning Demolition Curteoor non-sbuch A 0 6ecbmW Al warmon (not service change) 0 Gas Lighter 0 Gas lmg 0 Heating Unit ❑ Lawn Sp Wier O Mob7e Home mpbmme rt 17 Roofing 0 Seater Line 0 Photo-vottefr= ❑ Ventilation ❑ Water Healer 0 Water tine 0 Vvfood Stone (rim be EPA ce:6fied, pmvida maw nhodr'a and nrcu hula: ua w )- Complete all appHcatft infOrnaffion on ttW aPPlicatiom h=Mplete apDr�1om vAI not be accepted - Application #VZL 00" " DateZ' � IMOJ* Y) �! ) lob site Addrew (fewmhaw Vt3km of Conelnr+cOOR Caber, Profit) ,2, coo zip Phone Property OwnerNNW Ad :ham •A, Apprtt Name . Address Citi/State _2P Phone _ . SOPI Im Contractor AMMM mylstiftle BP Phone A .._4� Jw ww YwA Zvi -o W: clzx City at Ft Golfins S Tax t# Are ym t tars time or try ieport:? lie 0 Report Saistanramr0!arcrdbYairmrmad�s Are YM P3WxJ v+r� Y 0 Yes C�141: Ls this a residerdW or comrnherdal Project? NrIG§deuw 0 Corm erda! If reddenW, is it Pfff gle Fars* t�dmd ❑ COODJtowrBtom (uncle ferrtr'ly, atte►ed) tJ Orrpler !•1(grrIftev ow (aontment) D Cmardge if co+mmerd4 is it E3 sank 10 ear o t7 umb 0 ttomd/MW Li amce a :,:ore &-A •+ ❑ Pun amam 13 outer (own) ,T.th:sb !,a! rn armore? 13Yes E3No if HmYrftdtOOW3=�.'` 1=.�:�^•=r;,�� it urn is f ur a uaaw.mu ,T. ��y :•�•ur •f �r !"1� theLRfl-MlIK7 _... Ifprior m 197$ yw� rh�Pneied an asla� in wl?Ii d9s *If lawn sprint w[baddlow pre.+rerneP, risx Suboonbaehors ListMe 'namearQy�ftCOAhgjbff'W* 17� 4 PtBnb� I hereby adahowtedge that I have amd tits appcatiad and s1512 umtthe aC.a�� i ��.'s s-.,e^^+� ' Prrd annpty with ao rML&ernents cwdamed hadn aid aly wdkmnoes and state kjv*j f6gumm buff i ft awzmrr ion. I IMI;w itrat a pettish is not vaNd until a has Veen paid and bsm&