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HomeMy WebLinkAbout4215 Moore Streetif i` \\ � \ �3< � \ �. �: \) / \.i.) ) \§ 0� \ O � \ \�\ / \\ /� \� . © ? 9®!} $ ( . ° � \ \ J §2 Cl \ / v. §.� z N ?)l.onn \ V m � /\� | \/ ®Z ° �. ° )/) « « 2\ \ \ m{ ƒ \�)�; \ if i` \\ � \ �3< � \ �. �: �: ti 4 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection tine '0000 (303) 235-2855 Office • (303) 237-8929 Fax PECTION NOTICE Inspection Type: ✓~1~ Job Address: Permit Number: rc~t~ 44? y d~T ~~✓f7 v C ir.S ❑ No one available for inspection: Time D AN/I Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 803-234-5933 Date: Inspector: S , c f DO NOT REMOVE THIS NOTICE ~~oF""~qe City of Wheat Ridge Building Division Date: 63 03 ~b/D m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Plan M c~LOftP~~ Inspection Line: 303-234-5933 Permit Building Permit Application PropertyAdiless 1IA Property Owner (please print): PhntnOa /2OnJI 4-~lL~ /i)/~ Contractor: Contractor License Sub' Contractors: Electrical City License Company: Exp. Date: ,510? 40Q Q --7 Phone: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Use of space (description): Description of works dui Construction Value: $ !dU(~, (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares BTU's . 212 ~ Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) aad all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject tofield inspection. / C/RLCE ONE.: (OWNER) (CONTRACTOR) or PERSONAL REI PRINT NAME: -D10, / 1 Q ka( SIGNATURE: Mailing Address: (if different than property address)