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HomeMy WebLinkAbout4900 BOARDWALK DR - APPLICATIONS - 4/11/2018wl i YO � pear IE'Si. Development &:1re-an,5pocaaaou • ti a 281 N. College Ave P.O. Bo)t 580 Fort Collins, CO S0s24 Phone 970-416-2740 Fax 224.613; This application is to be used to apply for the following permras only (thee]_ a1 that apply}, ❑ Air Conditioning Cl Demolition (interior non-structural) Ip Electrical Alteration (not service change) ❑Gas Lighter 0 Gas Log H Zang Unit Ct L aWn Sprinkler ❑ Mobile Home replacement n Roofing ❑ Sewer Line _ 0 Photo-voltiaic 0 Ventilation Awater Heater Cl ]wafer line n Wood/Pellet Move (must be EPA cerialed, pro+ride make, model and manufacturer). Complete 21I applicable information on the apglica;ion_ Incomplete applications ',tilt not be accepted. n pliC'czzoll For ofte tr2 only Job !3lf:a .,d_ ese (fFquihed) Property Owner Name Applicasit Cana Comractor Contractor City oP Ft. Collins Address Address Address fax S31a9 nsmbi e�ts,equkad 9y all ronlr-'cmr. -Date L- • 1 t • Ig Value 07F Consaructio,47 (labor, Materials, profit;) 00 ZIP Phone CYIStaue Tp Rhona clwstat� Zip Phone Hie you paying taxes here or by report~ t7 Here Are you paying Nlith your-t'rust account? Byes is this a residential or commercial ro ect? A j Residential ❑ Commercial _i restdEnCiai, is iC Single Family De � ' e ' El Condo/rownhone (single family attached) CI Duplex Multiaru7y (apartment) Garage sf commerdal, Is it Q Banh II Bar i u Church iQ HoWYNIei?I © Medical orris 0 Office 0 Rail Q Restaurant © Other (explain) Es this building SO year or age or coot? ❑Yes n iqo %fycs; you m3yneed to contactNlstorlcPraseva&017 fi this is for a dGnIolition pernit, What year was the building constructed? 7i prier ro j973, YOU lygt Head an asii�srns ass mane to suhryr with Phts apOfthron. Description or work "!f l'nL4'n sprinklerlbadcilow !7fcventer, MU5t lis' 6C""d plumbci'. ilr i�me I�l� must lisl Gt �s@d electrician.. SubeoniTattorv: Listch2cot�7p nyn0-medrCriyorFCrDIIInsllcensa EIeCbq,ci nP1umher i~iz[haN[aI Rnorzr Other I hereby acicnovyledge Choi i have read this application and state that the above information is complete and correct:. T agree th conply With all requirements contained herein and city ordinances and state lays regulating is co fig to a n.tciion, z sour that a pern"� ' not valid ttr3i i1 t has baeri. paid a7, issued. Applicant: Print Hang: Sig3ldi ( e