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HomeMy WebLinkAbout4575 Balsam Streetr U 1* � 4 i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: lr/f_�, Job Address:, '1515 !; .4 L S<11LA S Permit Number: \ % 0 / °% (,) '/ 71 Ste/ ❑ No one available for inspection: Tia* AM/PM Re -Inspection required: Yes When corrections have been made, call for re-insp�e ion at 303-234-5933 Date: / o- Z �� )—Inspector: W'rH1�SN0T1QE DONOTREMOVE MIX! v City of Dote: ��COMMUNITYDEVELOPMENT PfamPermit # # 4575 Balsam St 970-765-6021 Address: 4575 Balsam St Cit y,State, zi : Wheat Ridge, CO 80033 Champion Windows Plumbing: , 1 .2- GUM L e Mechanical: WR Cjjj License # Complete all information on BOTH sides of this form roM 1 0 - illlli i , . t. � ## NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT gi 1111�1%11I�11 I I III 1� � 11 1 i i I 1 11 R111111 SqFULF Stu's Gallons Amps Squares Other (Contract value or the cost of g1l materials and labor included in the I "i project) accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application, 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. OMEM-70=3=M A f Of + DIAGRAMHOUSE MT -71,111 Shane Marcotte ^^IAQ(;�160002791 aria 3P # L INSIDE MSRMT i x lI1 x x x x x x x 10 x 1 x 2 13 X 14 x t x I FOR OFF ICE USE ONLY I City of ��di' "" _3rL, " dw AZA ddr+es: $ ub Contraotors: / Electrical: jj Plumbing: Mechanical. R City License WR City License# W.R. City Lice # Other City Licensed Sub: Other City Licensed Sub: City License City License C omplete all information ation o sides of this form over llea� 6�1,t4ce Sq. RILF Stu's Galtons Amps Squares Other • Ft./L,Ft a►ded. _ Squares ___. BTU's _ Gallons - Amps O M�� a dli4i�i ♦ v 0 no review required I Bldg Valuation: I