HomeMy WebLinkAbout508 Parkway Ct - Applications/Air Conditioner - 04/28/2020City
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Community Development and Neighborhood Services
281 N College buildingservices@fcgov.com
Fort Collins, CO 80524 970-416-2740
Job Site Address
Application#
Date Received
Address 5 in 9) par wyv City/State/Zip
Propertt�yyMOwner Information
Name q, ti im`n//,�i a SSA /� Phone Number 17 1U ��_1 ' a)Ci
Address-5 N Vby C� w� �/T City/State/Zip (A)V/1 n I UD 0 ��
Scope of Work
O Air Conditioner O Minisplit
* Furnace Q Boiler
Contractor
Name I%
Company Amy C 1 % Y" s � m G -
License Holder
Electrical Contractor Information (onlyrequired for first time AC install)
Name
O Water Heater
Q Other:
License Number )� � � S b
Company License Number ME-