HomeMy WebLinkAbout620 HILLVIEW CT - APPLICATIONS - 4/10/2015Marll - 2015 4:47PM
ADVANCED ROOFING No.8194 P. 2/2
City.of
t'ianning, Deve(cpn�ent &Trar:sportaticn
F6rCollins_
281 N. College A� _ P.O, Box 580
For Collins, CO aoS24
Phone 770-415-27=0 cax 2Z4 5U�
Q
R-THE-COUNTER PERMITS ONLY
This apofica#hen rs to be used
❑
to aYpiy to the `-110Wing Permits only (check all that 3Lolv), f, Air CondRiening
Demoiirion (imerfor.non-st,uctural)
r
7 E ectricaF Aiteration (not service change) = Gas Lighter ❑ Gas ,pp r��9
•nider
Heating Unit ❑ Lawn Sp
❑ Mobile Horne reoiacenent L: Poerir, `.I Se=,,ver ; p !. d
g Me f nC C7V&kaiC
Q Ventilation ❑ Water i isai
manutfacturar).
r O'/Pater Line v' Vdcod/Peilet Stove (must be -`A cep iYtie d, provide rnc^,ka; model and
Oot7ipietz all 3policabf> infc
rmaticn on the i caticr,, inca,;,plete sppiicstions uiti ;ie; be accap' d, _
for 045ce rs2
only
,�•�' :±G M.'�FLF: ESE (iey LS:75%
SF • - r '. .. '! • I
Propery Owner Name
Z-')_
>illffant Name Q
\Jprl,3ce-L PDoFlf
Contractor Uc
I
Cont-actor Gty of Ft Coilins
Sales Ltix oumcer is require_r bl op
aa051a
Is tinis a residential or commerci<
I` rz<idendal; is it; " jSingle"r
❑ Multi -Ian
If commerdal, is rr. ❑ Bank C
❑ Rest2um
Is this.buiiding So years of.age
If this Is for a demofitiort perm
,i'f pr,••cr to i 9✓5, you will need an
Description or work
'KIi iawr, sprinkler/bac!clow
Subcontractors: LsU;e,
afew idan
P hereby actinoYr?edae that I have
_or7ply with. all requirements con-'
permit; is not valid until it has
Applicant:
Print Nam
AG dress
6a
nddraSS
k aE]
Addr_ss
Gty/Stae
l )i ks Zp 80�Sa to Phone 97 U
Lip
C�a� 3
Phone R_�o
Phone
ax Ale you paying t3x s here cr Q s sport? Q e f�
y rycr�
ror Are you paying wlin your trust account? n yes L� No .
proje-_ ? Residenral D comm eroizi
,WY De,zcied" . U COldO/toWnko"r; �s (S1,10 a lornify e`dCiled) ❑ ]uplex �(
� (apa;tn, ent) Ak:6arage CCC/// ffI
Bar L7 Church ❑ roC2!/Mct=f ❑ M2df�{ ci lc= 0 Re mil
C7 Ct,er (explFin)
r m0f2? Q yes 0 No if ve , you nay n_=NCO C01iicG4 l:IScJf/C �i �Se!'✓oiiOn
what ya?r was the building constt'uded?
s5esc05 as es me,�t -0 su5n/1- WIGS Cris app/icatcn.
must IL—, licens"Umber. If rlrs: throe A/C, ,rust its, licansed el+r `.`ICart.
v-- A
one or Cry or F.,Cql/ins licenser
P4e_yanicaf :over 1
OLi,Er .
i
1iS aCpliCatiOn and StcLe u ici `t."ie c-oeYe infOf;T,aOCil IS Comuiet- and COfr e,_� 12cr2 to
herein and City 0, dirancES and Sate iaws r��Uic'Cng LhUildno CcrEi. uc�ion. I knevr that a
pald and is;t;ed,
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