HomeMy WebLinkAbout836 CORONADO AVE - APPLICATIONS - 7/20/2015From Affordable Roofing Inc 1.970.207.0289 Mon Jul 13 09:17:41 2015 MDT Page 2 of 2
planning, Development &1•rarsport,a_tr._t
28, N. College Ave P.U. Box 580
art Collins; CO 80524
?hone 970-416-2740 FaX 22S-6134
0VERi,T�EmC0UNITER Or' RMITS 0N9Y
This application is to be used to apply -for the following permits only (check all that apply). 1 Air Condkionine
Ci Demol{tion (interior non-structurap 1 Electrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log
1 Heaano Unit J >_awn .Sprinkler O Mobile :-tome replacemani CG Roofing ❑ Sawar Line Q Photo-vohar
r Venblejon 0 We6or Heater U'lobster Ltn_ ❑ UJoodlPattet ;`LnVc (must lie EPA c--iiiiied, provide make, mods i c!ih
manutEciuieri-
^ornniete all applicable information on the application_ Incomplete applications will not be accepted.
asiCc ion565
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Far 0iuce use only
Address
Name
0tile -7-Z0- lS
Value of : onsructior. pabor, materials, pr orl<)
Address f:ity/State Zip Phorre
;P;:iic%nC aMe _ Aadr°;s Ci y/Stan Zip Phone '? U
i� lJ. 1 n�l�!� 1Zc�. �=1� �sC'°� 2U7 JUCC.
cant actor J Address - r /Scat- Zip Pha-te
? ConitcCiof CIIJ or Fa. Collins Sales tzx
i ;<as r�xrxrG rb-r�rard�yc!l cantactm Are y0u paying with your trust account? ' Yes 0 No i
1,
i_ frii-- z r—esidcnbal or rmrnmercial p,-ojectY NtR?Stdan jai 1 COmmercial
iE1ua'1, is it: M.Sngle Family Detached 0 Condoltoomhome (single family aLlached) 0 Duplex
0 i-tultifmily (axr>rai't) 01 Garage r
CW z:rnei dal, is it: -n Sank r] liar 0 Cnurei: ❑ Hotel!iVlotel 0 Medical orrice ❑ Olicp ❑ Retzil
0 Rest?u:2nt ❑ Other (explain)
IS !is bolding SO years of age or more? 1 Ycs ' 1 No !;)as, you mayread eta comactH&corlc Rreservsoorr
'• rF sits is iCr 2 demolition permit, Wii7c%yEar uNas the building const uctl:?
: r YGr tr is%J, you will r+eec an asb—,,-tV5 alai l nt it S ji Imp V/idi this appliesiyan. +
1
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iawn sornkler/baciGlow oreVent r. thus list licensed plumber- T; fr=t-.ime f1jC, thus Ot licensed ciecirician.
!SconRaCo[5 J��lrarnmrnnyneneor CRY Of CnllfnsGcers
;a ; urncec t'4ecnaric3t Raoier 1 i5 Ll Ulna
e n::re y acknowledge that_ have read this aoplia lion and sate that :ne above information is complex and co. rem s xyr=_a to .
;-, ~ply !;+i n sit r=gviFrter s contained herein and aiy ordifzance� and stele lativs egulaiin.4idin9 co >5truct on Z know -that e
r:s rote acid unitl it has been paid and issued.
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