HomeMy WebLinkAbout1439 PAINTED DESERT CT - APPLICATIONS - 1/15/2015g^ CIt}r Of Planning, DeVelopmetlt & Transportation
rt01tdns 26.1 N_ College Ave P.O. uox 580�1 Porl; Collins, Co 8052<I
Phone 9.70-1116-2711() Fax 7.21I• 6:1.34
.'- PIVER-THE-COUNTER PERMITS ONLY
This application•is to bo used to•apply for tho following permits only (chrcic ali that apply). [1 Ali,ConclitiC>niny
i� J :molitirnl (interior non -.structural) lerhicll Alto -,ration (not service change} IJ Gas Lidhtur n Gei, l_oc7
L7 I Ic�atirld Unit ElI_ew11 Sprinkler C'I Mobile I ionic rlaplacernent • C7 Roofingn Srwer I_inc l-1 I'hota-voltaic
n anurcictu en),� W`�knr I-In:.etnr f7 Water line .0 Wbocl/pellet 'Rove (muse be r{-,n rertitil'ovidc make, model and
Cnm111ete all aliplfuably information on the' application.. Inconulete apniicoatials will not: iae ac:reptecl.
Application ://'___1500i time
n)rol%icr� usr cai)4.
Job Slit] Acldrbss (,w,.uiIF.,,o/)
Propr-_rl:y 041f3r Name
A,
Applic�nl: hlarrt
i 7/7
Contractor City. of f°t:.Colllns gales Tax #.
�t// Coryr7}tC(v�s.
WILle of Cortsll'actit
Ar,Idress CRY/State
Aclrlr<-ss � City/State
.Adch ss
City/Str7te
1y(labor, materlals, pr-crrl)
Zip Plione
Are you paying taxer. herd or by rchurt? C7 1AVC, D Rellorl:
Are you paying with your trust accolint''i J YL's Cl No
i5 Iali&arc identinl.
sideor��nl'rlert i.al )ro ect? !lr - — -- - - --� --- — _`_.—.• ~_--- ___.--_---
1f rentiis al I J �I�esklential C1 Conintarc;ttl----"--'•-- •--•—• .___
It: • fRingle Family Detaciled iJ Condo/townhome (sinr)le faintly alt�iclted) 0 tau �Icx
I' Niu!tiP&mily (apartment
]f r_ttnlmercial, i$ it; I:1 Ozirilt IJ Bill-LJ Churr-h rJ Got'e%Motel rJ Medical orrice Cl 'Offce L� ttrtail
L] R(-+slaurant i:J Other (explain _
is this bullctl+tg.5� years of.7�e or more? f� Yes •h1 No
:(f "!'is Is fora 2irlrtialitit>r� pJcryllit, what Year was lira !)ttlbJinI cansU'ucted?~-
IFc0l" You ed? gF(rl (17 cor1tr9c( //rsh)rri /'reac!rl r�rioq tr,urrbr• ro ,t.9J,i, J.;iti Hsi/I r7cc-+ri cryr) crys!)crslos r7ssr• ssrrCnr (b suv4rr('rwrrl, rips a ,/,'n�rinn.
17csr-.riplion of wnj•k _ •� � - -----•-
r7f lawn a^^pt'llll(ICf/19c1GtfI0Nr prev0IIl;r,r, riltt;;t Ilst licensed Plutrlbr_r, 1'F flrsirfitne A/C, musk list IICLrI :ed eleclrlraon.
Subcontracktil'S; (L C (l7rucr)O pert))' 12,91?7CA ryry pFll of rllrrrs/,i cq�tio ,�
I'I;.ctririan_-. ,..__.___---• 'rlramber ___ d � 4,•• '7
1 ITreI)y ijclC
Other
urr- LrnaL ), navn fear! this appllcat'lon rind stale kltat the: above ihFormatfon is Corr ,! l ,-tI'— -� _ —�•J
comply with all regt.rirc nients r,onitlnrYt her(:In and city orcllntmce^ and share laws rt "'ruUng build;rr;i rurlsnucflon• I lutowtital a
pvrrtrit is nnl:'valirt r,tnCil, ir, 11a1 Ixten ikri(I and issued. r r' lnrJ r_rnrcrk, I "19)•r;c to