HomeMy WebLinkAbout908 PARKVIEW DR - APPLICATIONS - 9/25/2014F Of,
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281 N. College Ave P.O. Box 580
Fort Collins, C U 80524
Phone 970-416-2740 Fax 224-6134
OVEWTME=COU VTER ■ ERMI'TS ONLY
This spplieatlon Is to be used to apply for the following permits only (chock all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Una ❑ Photo -voltaic
❑ Ventilation ❑ Water -Heater ❑ Water Una ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete OPPI108tiol a will n be accepted.
Application # Date
;;,2r eA1ce rise en/v
lob Site Address (required)
Value of Construction (labor, materials, profit)
Property owner Name Address
City/State Zip
a
Phone
-may
Applicant Name Address
/State Zip
Phone
Co # R-1% Address
City/State Zip
Phone
I l
tt'`
Contractor City of Ft Collins Sales tax #
antra^lnr�
Are � paying with your trust account?
Report
Yes ❑ No
S� tarnumberlr nb1'ad
Is this a residential or copwrcial project? dentlal ❑ Commercial
If residential, is it: Single Family Detached 0 Condo/townhome (single family attached) ❑ Duplex
0 Warrdiy (apartment) ❑ Garage
If commercial, Is it ❑ Bank Mar ❑ Church ❑ Hotal/Motel 0 Medical office ❑ Office ❑Befall
M Restaurant ❑Other (explain)
Is this building So years of age or morel O Yes o if yes, you mayneed m cvntactHLsiark Awsawdon
If this Is for a demolition permit, what year was the building constructed?
Ifprfor to j975, you w//l need an ash amussrnent to submit wldr drls app/Icad=
of work
*If lawn sprinkler/baddtow preven
t,, men must list licensed plumber. If first-time A/C, must list licensed elecMdan.
Subcontractors; Ldst dre ovmpany name or Qy offt Collins /!tense 0
ElmWdan Plumber Medhadal ROOrer "X6. Other
I hereby admowledge that I have read this application and state that the above infornuidon is complete and COMM I agree to
complywith all requiremerifs contained herein and dry ordinances and state laws regulatlag building constn4on. I know that a
pern>it is m*wgd until it I= been paid and hsst+ed.
Appllcettb C 0 w� s'rgaature pa#e
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