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HomeMy WebLinkAbout4307 SHADOWBROOKE CT - APPLICATIONS - 7/22/2014Jul 21 14 10:32a Tony 1-970-669-5999 p.3 _ F6City of Planning, Development & ort Transportation rt �f'ns Fbr N. Cottage Ave P.O. Banc 580 /^'�. CoQirrs, CO 80524 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMS ONLY This application is to be used to apply for the following ❑ Demolition (interior non-sfiuyurural) ❑ p i permits only (check all that apPly). ❑ Air Conditioning Aeration (not service ❑ Heating Unit ❑Lawn Sprinkler ❑Mobile Home change) Gas Lighter O Gas Log ❑ Ventilation. ❑Water Heater ❑ Water Line ❑ replacement O Roofing ❑Sewer Line O Photo -voltaic manufacturer)_ WoodlPelfet Stove (must be EPA certified provide make, model and Complete all applicable information on the application. Application #_ ? 14 y 9 02. 1 form use aruj, Incxrmpleta applications well not be accepted. Date - — d t4 ]ob7� 1 ,� VaNte of III abor, rnatenats, profit) CJ©TCit Prnr Owner Name r tin Address SAin� y/State Zip Phone 4PPI ant name .Address 11 ( C' I� . — I., ./) ,..r ' _ , _ CIL _ Y/mate Tip Phone Zp Phone Contractor City of FL Colfrns Sates Tax # -- v ✓ T .s�les�x.uanlaerfsrtgrth�thYaBce»badtvx Are >� paying t�ces here or by report? ❑Here Are you paying with your bust account? ❑ Yes 0port 1 Re No Is this a residential or mercial profed? Residential ❑ conuriercial 1f residential, is it /H.Singie Family Detached ❑ Condo/townhome (single family attached) ❑ Dupes ❑ Multifamily (apartment) ❑ Garage If commercial, Is it ❑ Bank Q Bar ❑ Chinch ❑ Hotel/MoM O Medical office ❑ Office ❑ Retail El Restaurant ❑ Other (explain) Is dit building 50 rears of age or morel ❑ Yes ❑ No IfYes, Y� maYnead [a ct vrtadh�/sYnnc PreAerveb wt If this is for a demolition Permit, what year was the building consbjKtKp IfPum to 19n You wO need an asbestos aft to subm/t with DhLs Ac; /h- Zwx Of *If sawn s7mnider/badd M preventer, melt fist licensed plumber. If first-time A/C, must list Umnsed electrician. Subeoetrae6ors: Latbhe o0fi2Pany1avne OrOtyofft CadWS 0 ElBWidan Plumber Necha*A. Roofer. Other I hereby ad wAedge that I have read this appFKation and state that the above,information s comply with all rMufrements contained herein and complete and correct I agree to dty ordinances and state lays regulating building construction. I know that a permit Is not vMid urstil it has been paid and Ensued. tName i'EotillfXr1Sim