HomeMy WebLinkAbout4425 HUMMINGBIRD DR - APPLICATIONS - 3/17/2020Mar 17 2020 10:07AM Swan 9706130826
page 3
.City, of
Fort Collins
Planning, Developnmint & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVEWTH&COUNTER PERMITS ONLY
This application Is to be used to apply for the following permits only (check all that apply).
❑ Air Conditioning ❑ Electrical Alteration ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler
❑ Mobile Home replacement ❑ Sewer Line ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove
(must be EPA certified, provide make, model and manufacturer).
Complete all applicable Information on the application. Incomplete applications will not be accepted.
Application *.
Foroffike use only
Date
Sob Site Address (replied) Value of Construction (labor, materials, profit)
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Property Owner Name Address
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City/State, Zip
Phone
NSDU)
Applicant Name Address
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City/State Tip
Phone
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Contradorr Adrdrness
City/Stalee Zip
Phone
Contractor City of Ft Wns Sales Tax #
Are you paying taxes here or by report?
Wiere ❑ Report
Wes taxnumberkiawircabyallcaVacnvs:
Are you paying with your trust account?
XYes ❑ No
Is this a residential or commercial project? Residential ❑ Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commensal, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No Byes, you may need to mntactHLstarfc Preservaffon
If this is for a demolition permit, what year was the building constructed?
Desalption of
*If lawn sprinkler/bacldlow preventer, must fist licensed plumber. If first-time A/C„ nrM ist
Subcontractors: List the cnmp3nyname c rCWofRCbfsf�t
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