HomeMy WebLinkAbout5050 Parfet StreetBuilding Permit Application
Property Address:
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Complete all information on BOTH sides of this form
Building Division Valuation: $ fr ` $ i
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. MP93#3509
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE r,HIEF BUiLDiNG iNSPECTOR AND RECEIPTED BEL'JW.
JOB ADDRESS
CONTRACTOR
ADDRESS
CITY _
ZIP CODE _
LICENSE NO.
OWNER _
ADDRESS `
PHONE `Y A `1 `
ZIP CODEIFGC3
CONTRACT PRICE $ ~L-
DATE y-2/t 7 ~
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INSPECTION TICKET
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MATERIAL
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DRAW SKETCN Oft SHOW BEIOW, THE FENCE, SIGN, OR OTHER STRUCTURE,GIViN3
(SETBACKS OR PROJELTIONS INClUOED)
PERMITM
BLDG. CONTR. I "
SUBCONTRACTOR
DATE INSP. REQ. C
TYPE OF INSP. ~ ~
INSPECTION MADE ~
REMARKS Y,-9 q
STREET N4ME e!z~L
SHOW DISTANCES FROM THE MAIN BUIIDING T6ADJOINING HOUSES, STREETS, AND yy p FORM 619
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTHICAL; ((e yZ,
1HIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONI
UFI]MITWIII FxPIRF 180 DAYS FROMTHEDATEOFISSUANCEIFb.,,,.....,....,•-.,.•„•„.•^•^~~
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ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE I.ICENSE NO.
STATE LICENSE N0.
ALUMINUAI WIRE UNDERSIZE B ILLEGAL
FLOOR BSM IST 2N0 3RD 4TH
N0. FUE4CireNOns GoiQlPropdM E 144solor
NO
WATER CLDSET
FpRCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONINCa-BTU
LIGHTIN~
SINN
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEOTER
Refri eront Grou
C
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
Mr e
PounAt
DISH WASNER
AUTOMATIC SPRINKLER SYSTEM
FI7CTURES
WIRING MOTORS 6 CONTROLS
FLIXJR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFiERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS $,,6°
J
PERMIT FEE
I hereby ocknowledpe thot thie ap0lico-
tion u correct ond understand tnot I
USE TAX
connot ttort tnie project unril tnis avvli-
ootion is approved. I snoll comply witn
TOTAL FEE
fhe lows oi Ihe State of Colorodo ond to
}hs Zoninq Repulotions ond Buildinp
PROVE
AP
Code of1Ae City of Wheat Ridpe. Gny
~
i
violotion of the above rerme wdi couse
CHIEF BUILD
immediote revocation of tnle permit
Date Issued
NOT VAIID UNLE55 RECEIPTED
~ n l3
$
WSPECTOR,City OWheat Ridge
CALL 234-5933
24 HOURS IN ADVANCE
~~C~_ j h FOR INSPECTIONS