HomeMy WebLinkAbout913 KINGSTON DR - APPLICATIONS - 5/8/2015From Affordable Roofing Inc 1.970.207.0289 Fri May 8 10:44:42 2015 MDT Page 2 of 2
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F-oft CollUnP
?tanning, Development k T ransporFaYior,
261 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-27Q Fax 224-6134
o 'VER,uT-C®8"'90'or,�d EH43Q US UDINILY
This application is to ba used to apply for the following permits only (check allthat apply). D Air Conditioning
Cl Demolition (inferior non-siruciural) ❑ C-lechicai Alteration (not service change) 0 Gas Lighter a :Gas Loa
Q Heating Unit D Lawn Sprinkler 0 Mobile Nome replacement G Roofing ❑ Sewer Line Q Phote-voltaic
r Ven-die ion 0 Water treater 0 Vweter Line Cl Wood/Pellet Store (must be F.Pik c=riiilad, provide mGke. Mods; ar I'd
rilarliflacturarl.
Complete all appiicaDie lri;ormation an the application. incomplete applications will not be accepted.
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atue of Construction (labor, materials, prorT[) i
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s 0?cp4;z%: Oivner Name
Address
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Address
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Conte actor City of Ft. Collins Sales 1 a:; � T
s-:- :EKYn;:r„carirAWulr-_=ddyaucanL-acior•. Ar you naying with yoi?r jts account? Yes 01 No
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V115 c rrSrd'cG0a1 Or cornmerciai project? _esSrianfial u Commercial
If rescel"uaf, is It: nfnf7le Family Detach d O Co
ndofto',vnhome (single family altached) ❑ Duplex
l mufti2mliy (apartment) n Garage
;
'I comrrO-dal, Is i--- Di Bark J Bar 0 Cnurch ❑ hotel/Mara! ❑ Medical of ce ❑ OR ce Ci Retail I
i ❑ Re5Ieufailt ❑ Other (explain)
:_ hils building 30 years o; age or more? D Yes ' Cr No Y yes, you nmynae-d ra contactHlstorlcPrasa vatlon
P _^,is is for a demolition permit, Wit year was the building constructed?
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-rcr c 7973, you 4,411 need an aacetvs a s menc to subime retch ays app/irao'nn. i
Deseriobon or work
'rF fuv,n sprinkler/tact^tale pzvent°r, must Gsi tit_ -used plumber. k l,_v time A/C, must lie licensed eferuicPan.
Subcontractors: 1J�brgcnrZJy�anrenry a��i'Cnllinsiiren r
`-I- = Plumber- � 7eci=nicot Roofer 2 -1 g C1
C>iher
ihit.tby 4L, moviledge mat 5 have read this application and state that the above information is Complette and comci. 3 agree a
t•.f I:L��:.pith ail > _quimments Loi pained herein and ciy ordinances and state laws regulating building construction_ 1 know tha a
a emit; not Yalld until �t has been paid and issued. ;
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r.i'!atre: � T_ f� ��:nvt rt� S _ Signature