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HomeMy WebLinkAbout4900 BOARDWALK DR - APPLICATIONS - 11/28/2017Of PMarnlfnS Developnt me&'frangortation 281 N. College Ave C+tfincs Fort Coif 80524.0, am 580 Phone 970-416-274O Fax 22+6134 OVEWTHSCOUNTER PERMITS ONLY Is appNcabton Is to be used to apply for the following permits only (roc all that appy). ❑ Air Conditioning DemotlUon ('interior eon -structural) ❑ Electrical Alteration (not service change) 0 Gas UGMer ❑ Gas Log Heating Unit ❑ Lawn Spr1rdder ❑ Mobile Home replac emmtt ❑ (tooling ❑ Sewer Line 0 Photo-voilalc Ventilation ,®-Water Heater © Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and ). leie all applicable Information on the appHcadon. Incomplete applications will not be accepted. iicaltion #_ Vb2v? I woe Address (reMW,►slue or corer etlm, (l�or, mate►�ls, profs) �-- 303 7 S;Raaress city/state M&VYt I Tip PhoneC 7a - pliant Name Address City/state ZIP(007014 331Z- APIAI /411S7p_c 8a52 tractor #V-tW Address cKy/state Zip Z.z C , City of Ft. Collidamns Sales Tax s #� ZC?� Are Veil ping tam here or by report? O Here ,tLaepoft Are you ping with Yow bust amaM .ttYes ❑ No Is this a residential or commercial Pry bKResidential ❑ Commerdal IP b is 0: O Slr>gle Family Detached ❑ Condo/Itouwmhome (single family attached) 0 Duplex 0 Multifamily (apartment) 0 Garage If Mmercial, Is it: 0 Bank 0 gar 0 Church 0 HoteyMotel 0 Medical office O Of 0 Retail 0 Restaurant D other (explain) IS his building 50 years of age or more? ❑Yes O No If}� M may Heed to 6antad trzt&* Preq&Ky&, If Ihis is for a derno6tinn perndt, what year was the building ? If to 1975, yor< W11 need an asbeshas amessment to subs* wldi Grits appft3 ton. of work sprinlderJbaddiow preventer, must list licensed plumber. if first-time A/C, must list 6omsW electrFcian, list the avmpanyAwv ar azyofFtC0hFhzs&&zw 0 f acknowledge that I have read this application and she that the above informa� is compt� and omect I agree to With all requirements contained herein and city ordinances and state laws regu�ing building eonstru cbon. I krww that a . Is not valid until it has been paid and hwjec . £ d 9I40-ZWOL6 Auodwoo eoinies uuswlle d9£•90'L 18I oeO