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CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
((303) 235-2855 Office - (303) 237-8929 j
Inspection Type 4 &Z e
Job Address 1 4 w 4 ? 4 :T
PermitNumber
er 7kt e-,.r
i No one available for inspection: Time AM/PM
ns 17M Men Ma r re-Inspection
Date Inspector:
Building Permit Application
pease p
(lrint): e)M 111 qD1
0"Wo"I"t � u
M
Milling'A0400; (if different than property address)
Address: Av (f
Citv. State, ZiD:
rM 1414 . cow
Complete all information on BOTH sides of this form
Seq. FUL.F Btu's Gallons
Amps Square r