HomeMy WebLinkAbout616 E COY DR - APPLICATIONS - 2/2/2012From Affordable Roofing Inc 1.970.207.0289 Thu Feb 2 11:06:20 2012 MST Page 1 of 1
i FNanningy Omrdop"a taTransportation
RCity off'`' gg� 2,81 K Cd*ge Ave P.D. 9DX 59D
uPhone 970-416-3740 FeM 22A-6134
OWWTHE4=ffrER PERMITS ONLY
This application is to be woad to 4PPIY for the faRoitAM po#m t only (ch"k all that apply). 13 AirConditianat0
�❑ DeoxAbon (iMerinr nanaVuctuMQ ❑ Electrical Aikvaft, (not wviw 9e) 0 Gas l.i let ❑ G" Log
,U Homing Unit ❑ Lawn Spei„kiar U Mob& Nome reptecemdnt Q RoolAtQ ❑ Sewer Line 0 FhoboAolmic
n ventilation L1 t'Vater fleeter 0 Water Une Cl VVaodMWW Stove (must be EPA c rfiftecl, provide mak% 010dai and
insrwfecLxer).
rmnplete all applicable information on the applleatloa. incomplete applications will na! be srxepted.
Applicaticm #530 Dale --- -
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Are you (i33Nllo W-M Your Mt amvurk? 'Yes f] No
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.If rz4dcntlai. i9 A: �l5-,tx� fmnily D3arhed ❑. CnrdWhN,mhonn. (simile fall* =Kiwd) ❑ Oupirx
i 1 AluitltamlM fdpffirtnlenti ❑ Germs
t mmrnordal, is a: ❑ Bank ❑ Bar E3 i7Aerh ❑ Ned 0 Madx* WTrce .Ea offkr f] Retaq
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:is ttds twang so Yeaw of aoa ar "Ore? ❑ Yes i"�~ F1 crs, yav ntaY!�t.,>trt7acr if�mirfiz3�vdfA'n
fr ttds is for a denowitim? Permit, what Year Was the huddkKi malnmd' a
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t :,4`,byadno, +echo that I have rod this tPPila000 Rnd state I
WMPN with all.taw+irentA+irs rmAmed slum msl'AY a�
;permit �.aatvam u nti it has been Aare and hattred.
above Uffbrmst w, h cornprale and corn . maw that a
tM laws to
rceuintino buildup
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