HomeMy WebLinkAbout4405 Wadsworth BoulevardDEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WEST 291h AVENUE BUII.DING INSPECTION DIVISION PERMiT N0. MR! 0' uS~4cl
237-e944 EXT. 255 P.O. BoX ese CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VAI,ID ONLY WHEN SIfiNED 8Y THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL7W.
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JOB ADDRESS ~UZ) /v wa t-r"
CONTRACTOR J?'_^. 'Iz-I/crrvAC- Z+~c' _
ADDRESS l() 7Z W ()(LQL-ml PL' .
CITY LAACM'OCId 62 b. ZIPCODE 91)23Z
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SaDFOee
1. TYPE Ground
2. MATERIAL
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Tofal Squon FNt
Permif No
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ef
SIGNS
No
3, II.LUMINATION Yas
4 SET BACK FROM PROPERTY LINE N
(Speeify which is front )
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ADDrwod,ione lnspena
DiiapprwM
1. TYPE Solid0 More Tlwn BO% Open❑
MATERIAL
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Le
ss Thon BO% Opm
Heipht
FENCES
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3. SET BACK FROM PROPERTY LINE N
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Approved,Zonts Intpoetw
Diaopproved
(Specity whieA is tront)
I.
OTHER
2'
3.
NE R$g- ^q7SN LICENSENO
DRAW SKETCH OR SHOW BELOW, THE fENCE,5IGN,OR OTHER STRUCTURE,GNIMi DISTANCES FROM PROPERTY LINES.
(SET8AGK5 OR PROJECTpNS INCLUDEA)
SPECIF'I NORTH
STREET NAME
SipW OISTANCES FROM THE MAIN BUII.DING TQADJOINING MOUSES, STREETS, ANO PROPERTY IINES; ON IRREGULAR LATS, SMIOW UAST
DISTANLE TO PROPERTY LMES, NOT MAXIMUM OR ev°a46~ DISTANCE.
APPLICATION FOR PlUM81NG; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL ExPIflE 180 DAYS FHOM THE DATE OF ISSUANCE IF WOHK IS NOT STAHTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE IICENSE N0.
PLUMBING PERMIT
STATE LILENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE WJDER SRE B IIIEGAL
pp.
TEMPORARY METER
FLOOR
WATER CLASET
WASH BOWL
BSM
IST
2ND
3RD
4TH
NQ
FLE4CircMOnM Gaf ON E Sda
FONCED AIR ~ BTU
HOT WATER - BTU
NEW SERVICE AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SFIOWER
Alp CONDITIONIN6-BTU
LI6MTING
SINK
OTMER
J
MEATING
GARBA6E DISP
REFRIGERATION SYSTEM
/
POWER SUB-CIRCUITS
UTILITY(RANGE,DISPOSER,ETC.)
FIXTURES
WIRING MOTORS B CONTROlS
WATER HEATER
AUTO. WASHER
DISH WASHER
F100R DRAIN
Rafri eranf Group
Pa+nds CAor e
AUTOMATIC SPRINKIER SYSTEM
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORN
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
OWNER
ADDRESS `I Z c9 0 5c 2.•~-w_.z ~12 G- 1
PHONE 771f-yt(.'r' ZIPCODE
CONTRACT PRICE, $ DATE w 4
~
REMARKS LRiti' fY1 W c-
1 Mrsby ocknowladQe thot thia apPlico-
fion is corroct and underatond thot I
connot sfoH thie prolocf until thia oppli-
eotion is a00roveA. I sholl aomply wlth
iM laws of the Stote ol Colorado ond fo
fhe 2oninp ReQulotions and Buildinp
Code of tAe City of Wheat Ridqe. Any
violalion ol tAe above rermf will cause
immaQiqte ravooation ot fnle permit
~"a4n"~
AOlreanb li0nalun
PERMIT FEE c,2
USE TAX
TOTAL FEE
APPROVED ~
DISAPPROVED
CHIEF BUILDING I PECTOR,Cify of Wheat Ridqe
Date Issued Z.- 3` ? /
N T VAUD UI
/v ~/7~
CAL1237-8941 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS