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HomeMy WebLinkAbout4306 WARBLER DR - APPLICATIONS - 5/26/2015May 1415 09:13a Tony 1-970-669-5999 p.3 FCftyof lirt Colons Planning, Development &Transportation 281 N. College Ave P.O. Box 580 Fart Collins, CO 80524 Phone 970-415-2740 Fax 224-6134 OVER-THE-COU I` PE> V- "ill � E 2LS �,rr�iiG3iiOs1 iS io be use's to ;apk '- r `Elie'-1'10vr!9 P fii'ii+s -r-ly (check ail Thai apply). D Air Conditioning ❑ DemoGbon (interior non-structural) 0 Electrical Aiterafion (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler D Mobile Home replacement D Roofing ❑ Sewer Line ❑ Photo -voltaic • Ventilation D Watei R6dtC1 0104atCr Line^ tnr !m r • ^. . I�r —L-A Vic. cif r - �...� l'V(lYYl1 CiII k VL\l�ia` li YJl ...: manufacturer). :c, Jr,>d Complete all applicable ittformation on the application, Incomplete applicaions will not be accepted. Application # `� �. A/ Date _ 6 )Waffli2-- usa only Job Site Address f-quiredj Value of Construction (labor, materials, profit Property Owner Name Address City/State Zip Phone �' er-!!0(0 A plicant ame Address City/State Pi Phone -l-hon ®4-b1Q►ti') 4 70- &q-(o44 Contractor Address 0- - I� M Rooftn' Co- City/State D lu. Linaln Zip Phone Ave- �1 to v Contractor City of Ft. Collins Sales T # Safes fwcnumber isrequiredbyall mntractors. Are you paying with your trust acr-oust? KYes. D No Is this a residential or commercial project? bid Residenda! 1] Commercial _ If residential, is it: Single Family Detadied 11 Condo/townhome (single family attached) El Duplex ❑ Multifamily (apartment) D Garage If commercial, is it: D Bank © Bar ❑ Church ❑ Hotel/Motel ❑ Media! office D Office D Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? ❑ Yes ❑ No Ifyes, you may need to contactHis5z r PresarvaSon If this is for a demolition permit, what year was the building constructed? If prior to 1975, you will need an asb�=fos assessmenr to submit with this appllration. of vz *If lavm sprinkler/bac!diow preventey, must list licensed plumber. If first-time AJC, must list licensed electrician. subcontractors: Ust the company name or City of ft Collins license f Electrician Plumber Mechanical Roofer I hereby acknowledge that I have read this application and state thatthe above information is complete and correct I agree to comply with all requirements contained herein and dty ordinances and state laws regulating building construction. I know that a permit is n A ��aNd ur, a' � has been paid a -1 isss:ed. Applicant Print Name:. Signs ' G� Date `l