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HomeMy WebLinkAbout4918 DAKOTA DR - APPLICATIONS - 8/29/2014�•YQ&YBA--Mmum= eWMr�zw"+ Ue u mUMMWnroe* -- This application is to be used to apply for the lellar ing permits only (shook ail that apply). M AirConciiiioning El 1)emolition (interior non-s`cructvrall ❑ Electrical Alteration (not service change) ❑ Gas Lighter, E3 Gas Log Q Heating Unit Q Lawn Sprinkler R Mobile [come replacement 12fRoofmy © Sewer Line © Photo -voltaic 10 Ven=.11arion 0 ti r Heater Q buafler ! ine l3 4Vaodi?elo: Stove (must be EPA cerlined, provide make, model and manuiaciurer). Completo all applicable informabon,on the application. incomplete applications will not be accepted. Application x 11 SI i Date F�?r'oisK2 irSB'al1fY Sob Site Address (malrad) Value -of ConstrucUOR (labor, m3rmiais, profit) 4 Propery Owner Name. Address Ovstate ZIP Phone Sax43 2 g-o S.0 v -310 nos Applicant Name Address Gi7/JStace zip Phone q 7� � r�-��,�-��b�e �ao•r+nQ,.L+nc_ al'7 �. Trllb� CL,� �"Z � Sos�s'ta�-�60a { contractar Address clylstate Zip Phone I Contractur City of i t Collins Sales Tax = ►ire you paying bxes here or by report ��e 0 Report j 5x1esQ+xrrrmrLrrtsr�ritru3l by�1la,r772�vr Are you paying with your truss: amount? MY: ❑ No is this a residen5al or oofnmerdal pro}ect? I5 Residential El Commercial if rasidentiaL Is it: 11- Single Family Detached u Condc fta+nmhome (single famlly attached) U Duplex b Multifamily (apartment) 0 Garage If commercial, is it_ 13 Bank El Bar 17 Church CI Hate-11 iotel E3 Medical aface 4 Cfffce 11 Retail 0 Re-,aurant U01her(eicniai — is this building So years of age or more? 0 Yes O ND Iiyesd yDurrrsyrr to c+�rr�t < NiSta>icPr�szrvaBon if trtfs is for a demolition ParFti"-, what year was ft'buildiny cansGv d? lrprrario .19n yonaahlll nead an fttsrLMitwlth B51S�eplicaiiarr. Description of xLf lath sprinklerlbac}dlaw preyenher, must fist WnWd plumber. if first-Ume A/C, must list iiceased eleeLTlclan. J Subeariroeors. j'st1b!?WMPanynrrraarGiyofFrCollrnsfiMasa Be tMldar_ Piumtler�� Medtani=l Ruorer Pk— I$So other 's hereby acimo�Jfed4e thhhtI haveread'll is application and state that the aiwve information is compiat�e and correct. I agree tp comply with all requirements contained herein and city ardinanees and Mate laws regulating building cathstnhcUon. i imew that s permit is not valid antic it: tms been paid and issued. i J i