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HomeMy WebLinkAbout3673 Simms Streeti CITY OF„WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L~ ~f Job Address: 3 ; S~ V~ri Permit Number: O( X1.4 ( r I a i E No one available for inspection: Time AM, PM Re-Inspection required: Yes No ' When corrections have been made, call for re-inspection at 303-234-5933 Date: f c 6Inspector: DO NOT REMOVE THIS N TICS ♦ i CITY OF WHEAT RIDGE Bung Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE / Inspection Type: Job Address: 3673 5_;~,wi~> Permit Number: Oq IV R ~921 I% fz11r1z91V f' r I;. E' ❑ No one available for inspection: Time fl ~D AM/ M Re-Inspection required: Yes No i When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ~oF""E?Ty City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 oo~oRpoo Inspection Line: 303-234-5933 Building Permit Application Date: Plan Permit oq Property Address,- 7 3 5e A A A S Property Owner (please print): ~-Zcmc KVt T&D/V Phone:~ZC53-`/22-6'Z76 Mailing Address: (if different than property address) Address: City, State, A e-lc- Contractor: Wt A^1--Z IL ;7l Contractor License Sub.Contractors: Electrical City License Company: AA-;v 4ko,e2fe Phone: `7 ZO - c( 72-q Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): ~c- -v-" Construction Value: $ ®C3 DBSCrlptlon of-Work:,T,- AyL der I A LZ (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ tc- eA,c ,,Ar~~ t4tCcn p2tlp ~~~E~ 4Y/l2 18 SR Sq. Ft./L. Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby at that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, [allegations ules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full sponsibility for compliance with the Wheat Ridge Buldng Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work nder this permit. Plans subject to field inspection. IRLCE ONE:: (OWNER) CONTRACTOR - or PERSONAL REPREIVE f (OW(CONTRATOR) RINT NAME: 576 TA SIGNATURE: Date: t' ~ 7 Lei