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HomeMy WebLinkAbout4740 PLAYER DR - APPLICATIONS - 9/9/2014FROM :kessler FAX NO. Sep.09 2014 09:17AM P1 p,ty of 28i H ift lop meat �TraJon 1 1. VVIIIns College Ave P.O. Box S80 Fort Collins, CD 80524 toe Phone 970-416-2740 Fax 724-6134 OVER-THE-COUNTER PERMITS ONLY This application Is to be used to apply for the following permits only (check all that apply). O Air Conditioning 0 Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log E] Heating Unit Cl Lawn Sprinkler 0 Mobile Home replacement Roofing 0 Sewer Line O Photo -voltaic 0 Ventilation 0 Water Heater 13 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 # ji�: 6 (4(D-n (a S Date FarOXW use only ` lob Side Address (►equlmd) Vaiue of Construction Qabor, mabafals, profit) 47q D .p r. F-7C , Cy 60511 9>O0 Property Owner Name Address city/State Zip Phone 6Di'dbr1 k-ru?.F, 4740 plc OP. s2 5 22.cp•)Z93 Applicant Name Address CYty/Sty Zip . Phone Contactor Address City/State zip Phone Prc Contractor City of Ft Collins Sales Tax what hw mmkorIsi0quiiaabyammnihidom Are you paying with your trust account? WYes 13 No Is this a reddential or commerVal project? Enkesidentlel 17 Commercial If residential, is it . WSIngle Family Detached E3 Condo/townhome (*de family attached) i3 Duplex 13 Multifamlly (apartment) C] Garage If commercial, is it © Bank © Bar 17 Church 0 Hobd(Motei 0 Medial office M Office ❑ Retell 0 Restaurant , 0 Other (e)plaln) Is this [wilding 50 years of age or more? ClYes t3 No Ifm }aw maned to contact H/sMrlc PTewvaeao If this is for a demolition pennrit, what year was the building constructed? 0pi l r to 1975, you ► 11need an aster amswnwt to m&WtWM this apo/catlion. /' n 1-e or 1'4 foi-" *If lawn spdnwer aw preventar, must list licensed plumber. If W-time A/C, must list housed electrician. SubcDahactmrs: List the company name or ply of Ltaft ff am 0 gectrtdan _.. lriumlxr •M Roofer Other,; I herebyadauwiedge that I have read ft applkWon and stabs that the above idorrnation is complete and correct. I ag" to comply with all requirwnerrts contained herein and city ordinances and state taws regulating building constructiori. I know that a penult is riot valid until it has been paid and i wuW. Appl /.� mil[ �f�1[^��V/�� i1 _ •�,° tarittfr Hama > SiorprNrrq �u<``° 1-"- =—_ : Data