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HomeMy WebLinkAbout4900 BOARDWALK DR - APPLICATIONS - 11/25/2019y,,.rtl �. F&Wns ^Y� This application into be _used to apply I f] Demolition(rttedornon-stm=aQ 13 E 0 Heating Unit 13 Lawn Sprinkrer II Mol ❑ ventilation Ll Water Heater Lf Water t manufacturer). Complete all applicable tnf ells, on on Application # 6, 16 / V xI fhraffWase c* ;, Developmeea & T mspaa ®n SeMcw tmunity, Development & Neighborhood Services North College Avenue COMM, CO 80M4 Main: 970.44$2740 F= 97=4:8734 . PERWO ONLY the following permits only (check all that apply).; 0 Air Conditioning. #iical Alteration (not service change). 0 Gas Lighter 0 Gas Log Home replacement C Roofing 0 8ewrar Lime .0 P.hoto-voltaic ❑ WoodlPelletStove (must be EPA certified, provide make, model and Incomplete applications vfrll.not be accepted. Date t l -z 3-12 30ls Sda Address (InWred) Value of Com trucdon (labor, materials; proff). w AL - Property ow*ner Nani me Address City/Sttate Zip Phone 6iramC /� �7 .Pyh/o} bxclk ne C Applicant Name Address City/state ZIP Phone l 5;080S !Az-4 •"t bb$ Contractorr Address Gty/State Tip Phom ROOM Yl Contractor City of Ft fires Sales Tax #Q-1S Are You paying taxes here or by report? 13Here Q Report swepimnumberis byaiLmnbad= to Are you paying with your M st account? Yes 13 No Is this a residential or commercial proje�? 3 Residential E3 connerdal If resident teli is it 0 Single FamilyDetadr M ❑ Condo/tawmhome (single family attached) ;0 Duplex 0 Multifamily (aparbw it) ❑ Garage If commercial, is it: E3 Bank 0 sar ❑ Cl jrch ©actdi/Moiei 0 Medical office 0 Office ,0 Retail 0 Restaurant 13 Other (explain) rs'tais building 50 years of age or more? F7 Yes 0 No 7fye* you maynWif to corrWcrH&WdC Preserrratfon If this is for a demolition permit, wrist VAA r was the building constructed? Description of work d G1I1410a a I *rf lawmsprinlder/bacidiow preventer, must fi ltcenseci piumlxT. 3f -time A/C, must list licensed electr7dan. snbcon raitmm tlsithemmpanynameor ofFteodfnsdee �e Qecsrican Plumber Roarer Other I hereby admmviedge than have read" apl Ncatron •and state thatthe abovelriformallon is complete and correct I agree to comply with alllrequiremer s contained herein mW cry ordinances and state lawns regulating building consnction. I imow that a penult is notvalld untH it has been pald'i nd issued. Prime -� : lSignature. Daft fftAtMaM2ffl2W /o