Loading...
HomeMy WebLinkAbout615 ROMA VALLEY DR - APPLICATIONS - 6/25/2015From Affordable Roofing Inc 1.970.207.0289 Wed Jun 17 10:27:09 2015 MDT Page 2 of 2 Y•3 li Nanning, Daveioprnent tz aransworto is=-, Cf. 0 281 N. College Ave P.o, Box 5$C• owu s. For CoEdhs, Co So le Phone 9%0-416-2740 r'ax 124-6134 This application is to be used to apply for the following permits only (check allthat apply). 3 �emofitian (interior non-structural) ❑ Electrical Alteration (not service change) Gas Liohte Ti- Gas Lao PP Y)• 0 air Condi;icnin 'i Hasano unit ri Lawn Sprinkler D Mnbile Home replacement Q Roo;ing ❑ Sewer ! ina , ;-i �J=stile;tor. 0 iNeter Heater C]- iAjk-tar 1j, Ln e rgpl cern <r ❑ Phoia-t oliaiG rrlaruiaciui &r;. -Ste s (mu. be EPA ceriif;eo: orovids make, mcdcl en . Complete all appllcable information on the application. Incol�npieie applications 1'J.rill not be accepiee- on Date. 0 at) I� rOr orur.e use 017ir rey Value oT Conszructiar. {tabor -o'2(21W Dr ) materials, panic} i i Prop=ri; r]nrnerlrame Aie ass — ----_ _.. { ' Wit[ (1 �/; C �{r Y1l l - — CitYlSiai:c ; F, 1 L1� ' non= pii��M Name- 11` I ,, •� i /Jia is yip p onF �-t(l 00 zz,I' L&)--j Address-;I,rSrrz i 7 :.-i>�• Phone t C-`__-- on.; cCTir City of ri. Coffins Sales Tzx srr,-razirdbyaLrcanLre tm Ar you paying vvith your trust account? yes -3 o fS "till$ P. r s' e--1 5d 41'CO[nMerCla! ip r: cir•�;3Gul, i5 l;; pro`ett7t`lc---'�'m`mential Cn "Single FarnilyDetac`ed - �---- ---- — -- Condo/to:vniwrn= (single jtmilY ovached 0 Llultli•amiiy (apartment) LZ Garage ) ❑ Dupier, l CO,TIrn�;vial, is?i: .� 3dn F-1 BR 0• Church 0 Na al/iho ei 0 MedIca! OI Ce ❑ Onc2 l-1 Retail i_i P�staur tt ❑ Other (f xplain:. _ i Ctiis -+ 1 - _ zi.din9 G ;Jeers o- age or rnoi a? ❑ ;Vo r �, -- — i -itis is er z camel€San pernii uvhaL yeah astha building ,L65, M �8Y,176 d to concacz- isttitcPr�se, v�Uon j - iGi Lv SQ/j,. t'C7!l vcn'J/ riecd en dSClfSd?S occ�+t--gRRIX CO SUD.Wr VwEh -`b* a'i7!)/!Cc",]`DA. a, work R -� b'KIz-T70acKjtoVj preve;2_r, 6iUSi lIS jr 01Uf17i]eL !.f fi, �iV tkne.A/C, must fig` i!cense[i e12C'i-(IClari. Gcontrcorst is� n�comnvnameorciy0r,-CoDlns/cWii-,,=..-" f4tchanicbI Poorer - R1 5 cl - Dii3er r: _..1,. . -- --1 -- ••,c�:yc u IdL e., ndVe Te;3o C1iS aE)licaation and State that tl7e above information is COMPlab^ and COri^C`. =imply !eitn Rif requir-men s contained herein and city ordinanc± and Sate lam regulating building consiructton. knowrhe ;.�rrl:ie ss ra�,!alid until i� has bean paid and issued. Signature %ire 1