HomeMy WebLinkAbout904 PARKVIEW DR - APPLICATIONS - 12/16/201412/10/2014 11:06 AM FROM: 9702081701
City, of
F6rt Collins
TO: 9702246134 P
IDIIIF
281 N. College Ave P.O. Box 590
Fat CoffinSt 00 $0524
Phone 970-416-2740 Fax 224-6134
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TWk APPIWIld(in 18 to b9 used ft apply for d* kDMIM Pemft only (check all #W apply). 0 Air Conodftning
13 Demolition (interior non-structural) E3 Eledfica) Alteration (not service change) El a" Lighter 0 Cift Log
0 Healing Unit 13 Lawn Sprinkler 0 Mobile Horne replacernerit 13 Roofing 0 Sewer Lm 0 Phow-voltaic
0 Ventilation 0 Water Heater C3 Water Una 0 Wood(Peflet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. kmonm;left applicatione will not be accaPiad.
Application# bED02�-6 —
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Date
lob SHIM Addmlw (Awvhvd)
Value of Cwtaftuction (labor, malmtsks, prdt)
Property Owner Name Address olly/stme ZIP Phorbe
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Appkant Name Address
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t3 MWW&n* (apwbnent) D Garage
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0 PAsIzurant E3 0dw (eqgwin)
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