HomeMy WebLinkAbout4262 STONERIDGE DR - APPLICATIONS - 10/8/2014OCT-07-2014 16:40 From:advancedexteriors To:19702246134 Pa9e:2�5
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` 6 ` olhns J� �6 ss 281 N.in9i Development a<Transportatlon
Fort Celli A� P.O, Cox Sea
phone �� 80524
OVER -THE 0 4�6-z7�° Fax 224 613q
TThi® application is to 6® used "COUNTER p�
Demolitionto a
irrtanor non.sfructl apply for the following Permits on
❑Heating UitR ❑ d Electrical Altorati
on ❑ Ventilation ❑ Watel Heffie y d Mobile Home replaceknot se�
ment � R1 manufagprer), Water Line ❑ Wood/Peilst Stove (m Complete all apPlice6lei i aHon on the e
APPfioabon #�� 1 w 3 application, IncOMpfete
�� AD10 rest only Date
]ob Site Address
Property Owner Name
I I i Address
Applicant Name Address
Contractor city of R.
�3✓arraonfYrfe�a.
LiC n7 i
Sales Tax #
Value
$ IL
Gty/State
ahr/State
Are you payinb
Are you paying
11TS ONLY
ick
g) alq Gas hat p�l 4 Air Conditioning
4 Sewer Line Lighter El Gas Log
❑ Photo vottatc
EPA Certified, provide make, model andi
.� rrs Vynl not
(labor, materiats, profit)
Coll�nS Zip Sr0'629 Phoned
Zip Phone
I. M
s note or by report? M Here O e oR rtp your trust amount? O Yes Uk No
IS this a residential or Go ail project?
If resTdeniial, Is it-� 51ng(e Famliy Detached Residential la Commercial II
O Multifamily(apartment) 13 CO"do/t°wnn°me (single f miry attached) Du
if mmmEYdal, is it O Bank ❑ Bar p C] Church L7 Ho eUMotel ❑ Medical Pies
Is this bw7ding SO ymra Restaurant 9 or mo a Yes Other p N g oe r Ofryce ❑►mil
if this {s fora demollUon permit, what year was the tutldi yii Ytrn nAay corrrdct H�tstwiiC Preservation
a`PdN m I975, yvu w/1/need an ng cor�u�d? ! asbPstals auinerrt to svbmd rvJtlh this annr.�nc .
?esaipdon of work
cif Lawn sprinkler/AacMow preventer, must list Iloensed C
iubountracLerx W the co� 0 tuber. If first-time A/G 'm List tut licensed
mParrynamenrG ofRCol
Ins Ccpnse4P
letbYdan. Fh+mber
nereay a*nowledge that I have read this application and state that the above h
DM* with all rr 9uirements contained herein and city ordinances and state Taws
WWI: Is not valid 111101111 it has been paid and issued.
Ippitmnh
print Name:& Signature
Is complete and Correct
building construction. I rI aim
to
that a
Dater U