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HomeMy WebLinkAbout6175 W. 40th AvenueDEPARTFAENT OF COMPAUNITY DEVELOPMENT 7500wEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. MP93#3461 234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COl.O. THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL9W. ,!r} PLICATION FOR PAISCELLANEOUS PERMIT /1 l JOBADDRESS ~r~~ OWNER .}~e2~ E-~ CONTRACTOR/ ADDRESS 7J ~ ~ ADDRESS 1~1 d`~ • PHONE z' ZIP CODE %22'1Z CITY XjA4 PHONE ~ SIGNS FENCES ZIP CODE LICENSE NO. 1. OTHER 2' 13. USE TAX DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHERSTRUCTURE pERMITk (SETBACNS OR PROJECTIONS INCIUPED) BLDG. CONTR. SUBCONTRACTOR STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREEI DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE APPLICATION FOR PLUMBING; ELECTR THIS APPLICATION WILL BECOME A PEfiMITTO PERFORM THE INDICATED W, PERMIT WILL EXPIRE 180 DAYS FROM THE OATE OF ISSUA TOTAL FEE ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PE STATE LICENSE N0. ALUAiINUM WIRE UNDER SIZE 8 ILLEGAL FLOOR BSM I ST 2ND 3RD 4TH N0. FtJEUCircla0ne Gaa 011 Propone Cool Elee Solm Np. TEMPORARY METER NEW SERVICE AMPS WATER CIAS£T WASH BOWL BATH TUB . FORCED AIR - BTU FIOT WATER - BTU STEAM - 8TU CHANGE SERVICE-AMPS SHOWER AIR CONDITIQNING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIFCUITS UTILI7Y(RANGE,DISPOSER,ETCJ FIXTURES WATER HEATER AUTO. WASHER DISH WASHER Refri erant fxoup POUnda Char s AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FIDOR DRAIN ELEVATOR SIGNS TRANSFORMERS 8k RECTFIERS URINAL SSWERS~ ADDITION TO OLD WORK OTHER MOTOFS OVER I NP TOTAL FIXT ES REMARKS I hereby ocknowledqe thot ihis applico- fion ia correct andunderstand thot I Gonnof stmt thi9 projtlCf until ihis oDPli- eotion ia approved. I shall comply wifh ihe lowe of the Stafe o( Colorodo and to ths Zoninp ReQulations and Buildinp Code ofthe City of Wheat Rid . Any vi0lofion of ihe above ter will cause immediate revocotion of nis permit / PERMIT FEE 1. TYPE Graund❑ Woll❑ Proil 2. MATERIAL ILLUMINATION Yes❑ No❑ 3 7ype _ . 4. SET BACK FROM PROPERTY LINE N - 5__ E - (Specify whieh ie froM ) ❑ ❑ ❑ 1. iYPE SolidE] More Than BO% OpenEJ Lst MATERIAL 3. SET BACK FROM PROPERTY LINE N _ S_ E _ (SDecifywhiehiafront) ❑ ❑ 0 CHIEF BUILDING CONTRACT PRIC 0 -2~✓ ~ DATE tinplJ Ofhbr S or D Foca Totol Squon Feet - Elacf. Permit No. W Zona_ ApDywed, Zone Inspector n . 3 INSPECTION tICKET JOBf ! CMADDRESS lJ f ~/Uf ~ 5 DATE: ~BLDG. PERMI pl q(,t TYPE OF INSP. INSPECTION REMARKS W.R. FORM 6-19 ~ b' CJZ - ~7` 4 ,City of Wheat Ridqe Date Issued UNLESS RECEIPTED CALL 234-5933 24 HOURS IN ADVANCE FORINSPECTIONS DATE INSP. REQ. Lr