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COMMUNiTy DEvELOPMENT
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DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
PERMIT NO, M92#18419
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
-APPLICATION FOR MISCELLANEOUS PFF3)AIT ®
JOB ADDRESS ~/f0
CONTRACTOR 0a~~/~ ~w rn'~' rr
2 q1 Gr.C~14 ~l ~f/uS n
ADDRESS
CITY 1[.:l~r y r -56 ' ZIP CODE
PHONE 4211 4-4-31 LICENSE NO. _
OWNER
PHONE S ZIP CODE
CONTRACT PRICE $ c
I. TYPE Ground❑ Wally ProiectingLJ Other Sor D Face
2. MATERIAL Y Total Square Feet ~3 :2-
SIGNS 3. ILLUMINATION Yes No❑ Type Electl/,',jar if
4. SET BACK FROM PROPERTY LINE N ✓ S_ E_ W Zone4 Approved .on ctor
I. TYPE Solid❑ More Than 80% OpenLU Less Than 80% Open
FENCES 2. MATERIAL Height
3. SET BACK FROM PROPERTY LINE N_ S__ E__ W. , 7^^• 7-.Jaan,mor
(Specify which is front) ❑ ❑ ❑ S
1.
OTHER 2.
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE,W
(SETBACKS OR PROJECTIONS INCLUDED)
~ff
INSPECTION TICKET
JOB
ADDRESS
`SoAz Twksr FL(*&S-r '
DATE: 4 a. BLDG. PERMIT#I`dy\q
PERMIT#
BLDG. CONTR. q x>
k-
7
--a7
STREET NAME 301 A7(V
SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS,.
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
SUBCONTRACTOR
DATE INSP. REQ. I a1.Y p
TYPE OF INSP. S pL ~1
INSPECTION MADE 7'-1
REMARKS ~/l
APPLICATION FOR PLUMBING; ELECTRIC
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOR.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE IF .T_
ELECTRICAL PERMIT
PLUMBING PEF W.R. FORM 6-19 /
STATE LICENSE NO.
STATE LICENSE NO._ `
olar
ALUMINUM WIRE UNDERSIZE 8ILLEGAL
FLOOR
BSM
IST
NO
WATER CLOSET
TEMPORARY METER
WASH BOWL
STEAM - BTU
NEW SERVICE AMPS
BATH TUB
AIR CONDITIONING-BTU
CHANGE SERVICE-AMPS
SHOWER
OTHER
LIGHTING
SINK
GARBAGE DISP
REFRIGERATION SYSTEM
HEATING
POWER SUB-CIRCUITS
WATER HEATER
Refri Brant Group
DISPOSER, ETC.)
UTILITY (RANGE
AUTO.WASHER
Pounds Char e
,
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
FIXTURES
WIRING MOTORS B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS S RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
PERMIT FEE
i hereby acknowledge that this applica-
tion is correct and understand that I
USE TAX
cannot start this project until this appli-
cation is approved. I shall comply with
TOTAL FEE
the laws of the State of Colorado and to
the Zoning Regulations and Building
DISAPPROVE
Code of the City of Wheat Ridge. Any
violation of the above terms will cause
CHIEF BUILD
immediate revocation of this permit.
ID UNLESS RED
# ,C03 6
INSPECTOR,City of Wheat Ridge
Date Issued Y 5 2
Opp iaonb 9ienptan
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
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