HomeMy WebLinkAbout4132 STONEY CREEK DR - APPLICATIONS - 7/29/2014Jul 251411:35a. Chuck Perry
FCity of
ort Collins
9703449010 p.2
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"Tf!! Planning, uevelopment & Trantsportatim
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524 .
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
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❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 17 Roofing ❑ Sewer Una ❑ Photo-voftWc
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manufactureo.
Complete all applicable Information on the application. Incomplete applications wiff not be accepted.
For ohAAw use &*
]ob Site Address (rmpubad)
Cat `1
Value of Construction (labor, materials,
Property Owner Rome �p t'S Address Citylstate Zip Phone
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citylstate Zip Phone
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�rY1hfiP S -ale
Contractor Address City/State Zip Phone
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Con r City of Ft. Cols Sales Tax # Are you paying � here or by report? , l�Here ❑ Report
Saks taxnmvnbW & reW&ed byaffWW a = Are you paying wfth your trust account? ❑ Yes Woo
Is this a residential orcommercial project? gResidential ❑ Commercial
If rPsidemtlal, IS it Saw al n
lrx le Fam lav" C� a townhome fsinale famliv attache�t) n rn rHpr
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If commercial, is It: ❑ Bank ❑ Bar E3 Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
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If this is for a demolition permit, what year was the building constructed?
Ifprior to 1975, yew will needao asbe,Ws assessment to sLtnvt MJYr bWapphlioghm
of work
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*If lawn sprinkler/badMow preventer, must list licensed plumber. If firstpptlme A/C, must list licensed electrician.
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permit is not valid until It has been paid and Issued.
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