HomeMy WebLinkAbout1439 FRONT NINE DR - APPLICATIONS - 6/3/2015JUN-03-2015(WED) 08:51
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416 JUN-03 08:51 2246134 0000'38' 001 OR Normal
Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO BOS24
Phone 970-416•2710 Fax 224.6134
OVER-THE-COUNTER PERMITS ONLY
This application Is to bo used to apply for tho following permits only (check all that apply). Air nin
Demolition (Interior non-structural) Electrical Alteration (not service change) Gas Lighter Gas Log 9
Heating Unit Lawn Sprinkler Mobile Home replacement Roofing Sewer I.Ine photo- I Ventilation Water Heater Water Line. Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incamnlete aoplications will not be accepted.
Application #
Far orrice use only
Job Site Address (required)
1 �t 3°► �2.on�T �►-L t� n a�
Property Owner Name Address
Applicant Name Address
Date Q) 6 SUN 20 (c;_
Value of Construction (labor, material„ profit)
AL-LCq -+s-
City/State Zip Phone V_+0
City/State Zip Phone
Contractor Address awstate IZip Phone
� �'`� t✓ tp � � SUP�1.ljt4 r0�1 121J t SlDC P>` F.c. k0 9*152L4 9N 4%.S�
Cunt raa_tor City of Fk Collins Sales Tax t/ Are you paying taxes here or by report? Were ort
19
Sales rtrXnfrrltpcYlsr ctJrMpy ppmnp��yy,�, 11 + Are you paying with your trust account? Yes
0
Is this a residential or commercial eslde Commercial
If residential, is It . �Ip amity Detache Condo/townhome (single family attached) Duplex
Multifamily, (apartmen Garage
If commercial, L, It: Bank Bar Church Hotel/Motel Medical office Office Retail
Is this building 5o years Restaurant
s age or more? Other ( plain)!f
1f this Is fora demolition permit, what year was the ding con tructed� need to mnP.ttf H/stonepreserv.�nbn
11 prior to.1975 ynu will need an c7sbestos azessmenr to submrt with this opplicali0n.
n of work
M
.'Ir lawn sprinkler/backflow oreventer. mutt, net, nrpne. A i.. i.... r. w-.