HomeMy WebLinkAbout807 AZTEC DR - APPLICATIONS - 6/21/2018Jun 15 2018 03:37PM Schroeder Roofing 9706693532 page 1
PJannIM DeMlopment & Transportation Services
CmmuNorthnn� ew & Neighborhood Services
Avenue
Fort Cd1IM CO 80524 Main: 970A18.2740 Fax: 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This application Is to be used to apply for the following permit@ only (chock all that apply). ❑ Air Conditioning
❑ Demolition (Interior nor-structuran ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobtie Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo-vottak:
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodlPellet Stove (must be EPA corded, provide make, model and
manufactursr).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application l _b 130 1-4 70-7
Faol>f� uas an/y
Job sftie Address (&V~Value of Corabvcdon pabor, materials, proft)
a
PropOwner r Name Address (3ty/State aP Phone
J 'i.I q77 q$-875F-
Applicant Name Address city/State Zip Phone
S�ncnaAarl
Contractor Address cty/staieZIP Phone
Contractor City of Ft, &ns Sales Tax # Are You paying tames here or
sA.tarrsrironaertr,aquwbyaoraoftdam by report? � Here ❑Report
— �IIb4`i
You paying with Your trust account? 51 Yes ❑ No
Is this a residential or commercial project? gResldentlal ❑ Commercial
If residential, Is It: O Single Family Detached ❑ Condo/townhome (single family attached) Duplex
ult bm#y (apa, boo ) 0 Garage
If commercial, Is It: b Bank ❑ Bar ❑ Churdh ❑ Hotel/Motel ❑ medical office ❑ Office ❑ Retall
❑ Restaurant Cl Other (explain)
Is this building 60 vears of age or more? t7 Yes 0 No Br)e , yhwffmyneed m cmbxtHbtmycDb7
If this is for a denwlldon panNt, what year was the building aorsbucbKR
Desatption of work ov. N�Sno t� � nS�., \ \ n \" ,no...1., ► i'\ ��,� ��.L �
*If lawn sM /bax9dlow proventer, must Bet licensed plumber. V f9n"me A/C, ntust pet licensed electrician.
Subcw raatorstUstftCMIWWyramieorstyofRQWwGbwm0
Plumber. Me&Mk Roarer ^ 1 LID% other
I hereby 8dmowledge that I have read this application and state that the above khformation is complete and correct. I agree to
comply With aB ►equtra ra is contained herein and city ordnwxm and state taws regulating building construction. I know that a
pelt IS not valid untB It has been paid and Issued.
Applicant: [
Sisnatu Dabs