HomeMy WebLinkAbout416 E DRAKE RD - APPLICATIONS - 12/24/2014Cit of
Q��Y Planning, Delielbpinent &Transportation
C% ns 281 N•. College Ave P.O. [lox J,80
"++.. Fort Collins, CO 80524
Phone 970-416-7710 Fax 224-6131
OVER-THE-COUNTER PERMITS ONLY
This fipplication Is to be used to apply for the following permits onl
M DeatingiU (interior non•struclUral) fJ Electrical Alteration (not servicechanye) niLl(lint
t;a apply).
�hterl IG it Conditioning Log
1 le;�tiny Unit ❑Law, Sprinldcr CJ Mobile 1 tome replacement • b Roofing ❑ Sevver Line ❑ photo -voltaic
❑ Ventilation ❑ VVater Fleatr_•r C7 Vthter Line 17 Vtbod/pellet Stove (must be EPA cerlr'-In . 0 de make, medal and
manufacturer).
Complete all applicablo iFtfonnat9on on the anDliration. Incomplete anplirations will not be accented.
Application/' 14I-30a� �~—
Por•ollrrn Date
Applicant Name Addres<
Contractor
Address
Contractor City or FL',Colllris Sales'rax 11.
sdras tdt' numGr w9„ea, GY al/ contrr7r.(ors. .
WILIC of coast•, Uon'(lab r nalertnls, prom)
--
CRY/State
T . r-sfrV -Y_ / 71, �., / Phone
City/State
f7T1,_C.D�U�r' , phone _
Are you paying taxes here or by report? q Here 1717ep�r�
Are you paying with your trust 7ccount? oyes 0 No
Is this a residential or rnmerdal vo'ecP? (
r• � Y e identill El Commercial
7f residential, Is It: • �"— ---
u,yle Fil,ril Detached ❑ Condo/townhome (,in91e ramify attache() L7 Duplex
Mu!UPemily (aparbnent) C7 Garage If cdinrnercial, is it: Br,nY, IJ bar ❑ Church ❑ Hotel/Motel ❑ Medical Offce ❑ Orfce Cl Retail
❑ Restaurant ❑ Other (explain) Is this building SO years of age or more? ❑ Yes U No Iryt r ---- Ir this is for a'dLdidlition permit, what yeal• was _
J Y need to conlRcl' lyisloMe /�ieservafrgr7 .
Irprror to l.9>s,.)dr la,%the bull!Iing constcled't l need Hn asGes[os asmssn ene (o str/r /t d l i^ —`— — r !'J ,
Descriptiori of viork —
!'If lawn spilnklcr/backnow preven Wr.,'ITJU list licensed lilumbec If fhcFtimp A/C, muss: list Ilcensa — — —
subcontrtci:Zl! Uottl7e,cnnlzJnyrnar eoi• n eityorpt.CTN/inslicrnm�r delectiiclnn•
Clecnicion„'plumbcr _
—.•—�.,._`•`•—T.^y � Mechanlcal�l�(/� .Roofer .. '
Other
I hereby acknowledge that I have read till— s applictItion aA d;tate that the ibove information i; complete and correct. 7 agree to `
comply with all ral uniinC. contained herein and'city ordinance.^, and state laws re9ulattrig b,u4'Itl,. yr slrurtlon, I Imow kltat"a
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per'n7it Is not vat' • until il• has bees Pall and Issued,
+ J//
APPlicinu
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PrbitNana! signatu'�i,✓�'�