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Home My WebLink About4611 Pierce StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Date: Tuesday, April 13, 20212:26:01 PM Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or Replacement of Existing Unit replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 4611 Pierce Street Wheat Ridge CO 80033 Property Owner Name Jeremiah Osborn Property Owner Phone 715-572-6120 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email josborn01@gmail.com Address Attach City of Wheat Electronic Payment Form - Revised 5-1-20 Ridge Electronic Fillable 202005011620013849 202006081141368198 Ddf Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Tipping Hat Plumbing Heating & Electric Name Contractor's License 160081 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-799-8010 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permit@tippinghat.com Address Retype Contractor permit@tippinghat.com Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 2.5 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit Fenced in backyard located (for example, rooftop, backyard on ground etc)? Is electrical needed for Yes re -hook? Provide Electrical 160081 Contractor's Wheat Ridge License No. Project Value (contract 3500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Erin Eastwood Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site p 1 Call by 3:00 PM to receive inspection the following business (day. w M, POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR - Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath I Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical INSPECTOR MUST SIGN ALL SPACES PERTAINING TO TH s JOB FOUNDATION INSPECTIONS DATE INSPECTOR - .COMMENTS:.. INITIALS Footings /Caissons Stemwall I (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service FINALS Electrical Plumbing Mechanical Roof Buifding Final 11 7 ? AC, Fire Department Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. FINALS Electrical Plumbing Mechanical Roof Buifding Final 11 7 ? AC, Fire Department R.O.W &'Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "`NOTEC ALL ITEMS MUST BE COMPLETED AND APPROVED. BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION -: OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Pr s. Job Address:_ V1,11 Permit Number: 4DW75,D i, ❑ No one available for inspection: Time Re- Inspection required: Yes (S When corrections have been made, call for re- inspection at 303 - 234-5 Date: 2 Z Inspector: DO NOT REMOVE THIS NOTICE s ► e CITY OF WHEAT RIDGE vp� ' Building Inspection Division ® (303) 234-5933 Inspection line do (303) 235 -2855 office • (303) 237 -8929 Fax INSPECTION NOTICE j' Inspection Type: &ogel /1,vf' Job Address: �!/ 1/ oigsQc S 7 Permit Number: _ /d 63 JS ❑ No one available for inspection: Time AM PM ! Re- Inspection required: Yes [ "When corrections have been made, calf for re- inspection at 303 - 234 -5933 Date: Z2 is Inspector: DO NOT REMOVE THIS NOT /CE INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS `:. DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons - Stemwall (CEG).Concrete Encased Ground " Reinforcing or Monolithic 2 a o Ile Weatherproof /.French Drain' Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD. ' BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. 2 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - CONCRETE SLAB FLOOR ' Electrical (Underground) Plumbing (Underground) Heating (Underground) `? DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric M Rough. Plumbing - Gas Piping Rough Mechanical C. ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing ° Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof 2 a o Ile Building : Final Fire Department R.O.W.& Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD. ' BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking& Landscaping * "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND . ZONING, BUILDING AND PUBLIC ,WORKS BEFORE A CERTIFICATE OF OCCUPANCY. IS ISSUED..FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED c PROTECT THIS CARD FROM THE WEATHER y fits afrWheat Rirlae 1151%1C11 A - 1V1J X.Y ISSUED: 05/21/2010 'EXPIRES: 11/17/2010 roofing Cit of h46at C COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Date Plan # Permit # Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 -234 -5933 B ing Permit Apph ation Piopr;rty Address_, �f �l I Property Owner (please print): L L �J �j Phone: Mailing Address: (if different than property address) Address: City, State, Zip: COn'tYaCtOI': Contractors City License #: Pub Contractors:' fs � f ¢ Phone:E®1 — 2 (Y°7 9 ;7 Electrical: Plumbing: Mechanical: City License # City License # City License # Descmn�toii �of work: � 1 Contr Val e. $ ; —PTA t i Review Fee (due at time of submittal): Squares 7 BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit lication are accurate and do violate applicable ordinances aPP PP rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and g , 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 applicable City of Wheat Ridge . codes and ordinances for work under any permit issued based on this application; that i am the legal owner 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 is ioatm . CIRCLEONE: (OWNER) (CONTRACTOR) er (AUTHORIZEDREPRES NT e TIVE) of (O R). (CONTRACTOR) PRINTNAME: t SIGNATURE: Bldg Valuation: $ —� " . City of Wheat Ridge .400o Res. Miscellaneous PERMIT. - 092750 ' PERMIT NO: 092750' ISSUED:' 09/25/2009 JOB ADDRESS:. 4611 PIERCE ST` EXPIRES: 03/24/2010 DESCRIPTION:. Install 9.5 sqs vinyl siding; ,100' fascia, gutters &.D/S. CONTACTS owner 303/420-0112 Bill Cobban gc 303/777-3444 Jean Gravina 01-7529 Alsco Cardinal Home. Improvemen PARCEL INFO ZONE `CODE: UA iUSE: UA SUBDIVISION: 0295 -:BLOCK/LOT#: 0/. FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,000.00 FEES ' Permit Fee 144.70 , Total Valuation .00 r< Use Tax 90.00 e TOTAL 234.70 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 g% 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) and all other applicable Wheat: Ridge Ordinances, for work under this permit. Plans subject to field inspection. " Signature of contractor/owner date any. ; 1. This permit was issued in accordance with the. provisions. set forth in your application and is subject to the laws of the ? State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other., applicable ordinances of the city. ' 2 This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted, at the discretion of the Building Official'. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, Sfull fees shall be paid for a. new permit: 4. No work of any manner shall be done that will ichange the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job.. 6. The issuance of a per it or the approval of drawings and specifications shall:. not be construed to be a permit for, nor an approval of, y ation of the provisions of the building codes or any other ordinance, law, rule or regulation- All . plan rev .11 ject to field inspections. Signature of C f Building Official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE'MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. a; ~R Of WHEgp a - City of Wheat Ridge Building Permit Number: m Community Development }Department ~ Date: roLORP00 7(An(%7;7~D~~pT FJ1~ 'FAAHHMF Property Owner: C'77777 77 I Property Address: 4611 kDitil-ce Sjfee I, Phone: Contractor License No.: Company: 1 co- C cure t naQ ctGly L. Phone: 3,4 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Bu%lC/lrw Dept Valuation Figure: $ 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 (l.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Planns~ subject to field inspeGtt~i/dn. (OWNER)(CONTRACTOR): SIGNED. (I:.CJ~-CY_'" DATE Uf: ~o (OWNER)(60NTRACTOR)TRINTED le ra 0i na DATE ZI Value:$ Spa PermitFee:$ lqy,70 Plan Review Fee:$ Use Tax: cTD Total:$_:)3 rQ -70 Use of Space (description): Description of work: S dims Sq. Ft. added S() 011 n Oj O_\ to t{ l' it `F I S BUILDING DEPARTMENT USE ONLY ONING COMMENTS Approval: Zoning: - COMMENTS: Approval: WORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: cL I IV i ,IQsCl`aj Ft.: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permitwas issued in accordance with the provisions set forth in your application and is subject to the lawsof the State of Colcradoand to theZoning Regulations and Building Codes of Wheat Ridge, Colorado or any other. applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permit expires; a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes, have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings. and specifications shall not be construed to be a permit for, nor an . approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subjecttafield inspections. Chief Building Official DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-979 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :5/15/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner Property Address Contractor License No. Company COBBAN WILLIAM H 4611 PIERCE ST 18044 Roofco, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed and do not violate applicable ordinances, rules or re covenants, easements or restrictions of rewrd; that made are accurete; that I have read and agree ak application, and that I assume full respo _di f~ Code (U.B.C.) and all other applicable ~V~ i (OWNER)(CONTRACTOR) Description : REROOF applicalion are accurate, - Ciry of Wheat Ridge or ints shown, and allegations itions printed on this ~ e Building work under this permit. Phone: Phone: 287 2839 Construction Value : $2,200.00 Permit Fee : $54.00 Use Tax : $33.00 Total: $87.00 Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: Aq (1) This pertnit was issued in accordance with the provisions set forth in yopur application and is sub'ecl to the laws ot the SWte ot Colorado antl [o the Zoning Regulations and Buildiny Cotle of Wheat RitlBe, Coloredo or any other applicable ordinances of t~e City. (2) This permit shall expire R(A) ihe work authorized is not commence0 within socty (60) tlays trom issue date or (B) the builtling authorized is suspended or abandoned for a period of 120 tlays. (3) If this permit expires, a new permit may be acquiretl for a fee o( one-half ihe amount normally requiretl, provided no changes have been or will be matle in Ihe original plans antl specifications antl any suspension or abantlonment has not exceetled one (1) year. It changes are made or if suspension or abandonment exceeds one (t) year, NII fees shall be paid for a new permit. (4) No woric of any manner shall be done that will change the naturel flow of waler causing a drainage problem. (5) Contrador shall notify the Builtling Inspec[or Iwenty-Four (24) hours in advance Por all inspections and shall receive written approval on inspection wrd betore proceetliing with successive phases of the job. (6) The issuance of a permit or the approval of tlrawings and specifcations shall not he wnstrued to be a permit for, nor an approval of, any violation of the provisions of the 6Ltltlina codes or an¢ other ordufdnce. IaW, rule or regulation. Iding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 70~77 DE'"aRTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : PropertyAddress: Contractor License No. : I I~ ~ Company : Building Permit Number : Date : Phone : Phone :20 ( -7~o 3 ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permrt appllwtion are acwrete, antl do not violate applicable ordinaneas, rules ar regulations of the Ciry of Whea[ Ridge or eovenants. easements or restnctions of recortl; that all measurements shown. antl allegations made are accurate: that I have mad and agree to abide by all contlitions printetl on this appllcation, and that I assume full respo ibilr pliance wrth t e Wheat Ritlge Building Code (U.B.C.) and all other appliwbleyV~t ea Ri g rtlinanceun er is permit. (OWNER)(CONTRACTOR) Description : Approval : Zoning : Approval : Approval : BUILDING DEPARTMENT USE ONLY Occupancy : Walls : Roof : Stories Construction Value : Permit Fee Use Tax Total Residential Units : Electrical License No : Company Expiration Date : Approval: ~ 'p. ns:;R3'qutt~e4~l Plumbing License No : Company : Expiration Date : Approval: ~ P~Ihs:Requirdd.; Mechanical License No : Company: Expiration Date : Approval: a . 'Rin"t1Rm PI° (1) iTis permit was Issuetl m accoNance wlth the provisions set Porth in yopur apDlicaUOn anG Is subject to the laws of Ne State of Coloredo anG ro the Zonirg Regulalions antl Builtling Cotle af Wheat RiAge, Colorado or any other applicable orainances of the Ciry. (2) This permit shall explre d(A) the work authonzad is not commencetl wiNin sixry (60) Eays from issue date or (B) the Euiltling aufhonied is suspendetl or abantlone0 for a penotl of 120 Cays. (3) If Nis permit expirea, a new pertnit may De acquireE tor a fee of ono-haM the amount nortnally requiretl, provlCetl no Uanges have been or will be matle in the onginal plans antl apecifiwtions an0 any suspension or abantlonment has rrol exceetled one (1) yeac If Uanges are matle a if suspenaion or aDantlonment exceeds one (1) yeac full fees shall be paid fof a new permrt. (4) No work of any manner shall De Eone [hat will change the natu2l flow of water Wusing a Erainage problem. (5) ConV3tlor shall notify the Buiitling InspEClor M'enry-four (24) IlouR in atlvanCC for all inspeCllons antl shall reGeive wntten approval on inspeCtion tara be(Ore proceetliing with successrve pnases af the job. (6) The issuance of a pertnlt ar the approval of Erawmgs and speufiwtlons shall not De construed to be a pemmt for, nor an approval af, any violatlon ot the provlsions of ihe buil0ing totles or any oNer ortlinance. law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 7500 WEST 29th AVENUE 237-6944 EXT. 255 P.O. BOX 638 THI$ PERMIT VASjD--ONLY WHE JOB ADDREIiS CONTRACTbR ADDRESS CITY PHONE SIGNS D-~fiC.'n'TNic.NT OF GOMMUNi I Y DE.VELOPMENT ME91~t4867 BUILDING INSPECTION DIVISION PERMIT N0. CITY OF WHEAT RIDGE, COLO. BY TNE CHEF BUILDiNG INSPECTOR ANC RECEIP7ED BF,LOW ~pPL ATION FOR MISCELLANEOUS P RMIT ~ OWNER ~f 2 ADDRESS AVe,. PHONE ZIPCODE Q~ ~d ZIP CODE 5.7."- ~='=1-- CUNTRACT PRICE $ ^ . LICENSE NO. DATE ~I. TYPE Ground❑ Wall❑ Proiettinp❑ Othsr SorDFOts 2. MATERIAL r Total Squars Faat 3. ILLUMINATION Yea❑ NoU TYDe Elkt. Parmit No. Za^e_ ApD~~'ad,ZO~a Inspacfor 4. SE7 BACK FROM PROPERTY LINE N- 5- E_ W DisaDDrwed (SoxilY which is fron1) ❑ ~ ~ 1. TYPE SolidFi More Than 80% OpenD Los, Than BO% aWn MATERIAL Heipht FENCES 3 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zme- ADDrwsd,Zorn Impecra (5oecifv which ia tront) ❑ ❑ 0 [1 Dieapproved I. OTHER 2 3. DRAW SKETCH OFi SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTUP ($ETBACNS OR PROJECTiONS INCIUDED) 1 INSPECTION TICKET JOB ` ~ ADDRESS DATE: BLDG. PERMITM PERMITN BLDG. CONTR. SUBCONTRACTOR STREET DATE INSP. REQ. a SHUW DISTANCES FROM THE MAIN BUILDIN6 T6ADJOINING HOUSES, STRE _"C f 1 x bISTANCE TO PROPERTV LMES, NOT MA%IMUM OR AVERA6E DISTANI 7YPE OF INSP. APPLICATION FOR PLUMBING; ELECI THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INUICATED PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISS ELECTRICAL PERMIT PLUMBING STCTE UCENSE NO STA7E LICENSE N0._ ALUAYINUM WIRE UNDERSIZE 8 ILLEGAI FLOOR BSM I --T WATFR CLDSET TEMPORARY METER NEW SERVICE - AMPS ~u.ucr ecw~nfF-GMPS REMAF2K5 WIRING MOTORS 9 CONTROLS TRANSFORMERS 9 RECTFIEHS ADDITION TO OLD WORK _ un70R5 OVER I HP _ I hareby acknowledpe ihol inis aDVIico- tion ie torrect and understand thot I connol' start this DrOltltt until thia oppG- cotion ie opproved. I sholl comply with ths laws of the Slote ol Colorodo and to the Zoninp ReQulalions ond Buddina Code ofthe City o1 Wheoi Ridpe. Any violotion of the above lerms wJl couse immecliale revocation of fhis vermit \o0lieanb SiOnatue WASH BOWL BATH TUB SHOWER _ $INK GARBAGE DISP WATER NEATEF AUTO.WASHER DISH Wf+SMER FLOOR DR41N URINAL SEWERS OTHER TOT FI%TUR ~ PERMIT FEE USE TAX TOTAL FEE APPROVED DISAPPROVED_ CHIEF BUILDIN pate Issued- INSPECTION MADE iN. ~ O REMARKS - O G~ ,t3 ! V I~< . ~ w L✓~ _ W.R. FORM 619 ~ NOT VAl1D UNlE55 RECEIPTED ~U A- K/ qGD It•lS-~II 3p►~1 ! O c-,/G tD,e~~45D6~ - ,City of Wheat Ridge , l~ L 01 CAL1237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS