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HomeMy WebLinkAbout419 MAPLETON CT - APPLICATIONS - 8/12/201411/29/2013 15:14 9705872178 MASTER ROOFING CO PAGE 02/02 FCit y of Pfanningr Development & Transportation i'1' Collins 281 N. College Ave P.O. Box 580 Fort Collins, Phone 970-416274 40Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY This applic ation I$ to be used to apply for the followin ❑. Demoiltic n interior non-structural ❑ Electrical Alteration notsseervice change) all that Ught . � Air Conditioning ( ) � ange) 0 Gas E3 Gas ❑ Heating t Ink 13 Lawn Sprinkler 17 Mbbile Home replacement ❑ Rooffng • ❑ Sower Li prp o voiLtai�c ❑ Ventnufa tur(atio ❑Water Heater ❑Water Line D Wood/Pallet Stove (must be EPA certified, provide make, model and manufacture r). Completes 11;Ipplicable information on the app(ioatfon. Inoomprete applksatlon Applicant Contractor Contractor Cit f of 5Abr4wrrru 00 ismwiLwbyalf dl Are You ping taxes here or by report? Are you paying with your trust amount? Is this a reside. trial Or mmerdal pm}ect? commercial If residential, tr it: Single pamll r D died ©Condo/townhome (single fa' atta O MulMmily (apartment) D Garage 0 Duplex If commercial, sit: O' Bank C] Bar ❑ Church ❑ Howl/Motel ❑ Medical office p Office ❑ Retail O Restaurant O Other (e xpfain) Is this building 5f9 years of a fie Or more? ClYes ONO jr"?51 yqv may 1Wd jp CjhWt H P/ 7�tion If this Is for a d etrwlitlon permit; what year was the building cwnstructed? -ffpnlnr fo IY73, YOU will need an asbe -Yts assesmMM In subm/2 wide &W aPp/k�t�fori �/> •>•I� Subcontracfnra : e''J& bye mm If first ti7ime A/C, must ILSt licensed ltarryneme or GityofR`Cbl/inslxerrse � Electrician___,_` , Mechanic.(_ I hereby acbtow6 010 that I have read this application and slate tttat the above whrmation is complete and correct. I agree to Comply with all re Viretnents contained herein and city ordinances and state laws regulating buiding to and Corr, I know that a Permit is not: va IkI ur>W It has been paid and issued. Applica"ts''� l` J Print Name: �[ —: __- _ _�