HomeMy WebLinkAbout4307 REVERE CT - APPLICATIONS - 7/23/201407/23/2014 10:57 3034312232 PROFESSIONAL ROOFING PAGE 01
Planatngr DevelopnwK & TrarAportialia1
MY °dins 281 N. College Ave P.O. Box 580
f w Fort Collins, CO 80524
Phone 970-415-2740 Fax 22+6134 ((p2
OVER-THE-COUNTER PERNM ONLY
This application Is to be used to apply for the following permits only (shook all that apply). 0 Air Conditioning
0 Demolition (interior non-etructural) 0 Eleabioal Alteration (not service change) 0 Gas Lighter O Gas Log
* Heating Unit 0 Lawn Sprinkler 0 Mobile Home replacement IB Rooting 0 Sewer Line 0 Photo -voltaic
0 Ventilation O Water Heater 0 Water Line 0 Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # L 1 A-6 67A 2 Data
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y. uL.. � t . _��_ a ,a,� . *' . � a: ; .,Contractor
City of Ft Colllnss SSal
Are you paying tam here or by repoW N Here 13 Report
Is this a residential or commercial project? RlIesidendal O Commercial
If residential, is It: IR Single Family Detached O Condo/townhome (single family aft shed) 0 Duplex
0 MultHhmiy (apartment) O garage
If commercial, Is It: 0 Bank O Bar 13 Church 0 Hotel/Motel 0 Medical office O Office 17 Retail
0 Restaurant 0 Other (explain)
Is this building 60 years of age or more? O Yes O(No Jf yeg you may need to oxWet Nmark' Phaww lav►
If this Is for a demolition permit, what year was the building constmctad?
If prforW 1978, you w►f/need an astestm ess>ewwnt to subunit w/Oh duns APPlIzudam.
Description of work
*If lawn sprinlder/badA w preventir, must ILd licensed piumber, Ir first-time A/C, must list Beensed electrician.
Subeontraceom List Me a wWBW name or 01y offtCOOV /dM= #
Phmnbar melchwlml Ream Other
I hereby acknowledge that I have read this appkatlon and state [fiat the above Information b complete and cone[#. I agree to
comply with as requirements contained herein and city ordinances and slate laws regulating building construction. I lmow that a
permit Is not valid until R bus been paid and Issued.
Applicant;
Precut Naar