HomeMy WebLinkAbout7040 W 28th PlaceDEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. ME92114999
237-8944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APF ATfO FOR MISCELLANEOUS PERMIT
JOB ADDRESS OWNER ' << ~UU S
CONTRACTOR ADDRESS ^SQJ~ f
ADDRESS PHONE ZIp CODE
CITY p,V PA- ZIP CODE CONTRACT PRICE $ Ci SO ~
PHONE 2'O LICENSE NO.
1. TYPE GreundU
Woll❑
Proie
2. MATERIAL
SIGNS
3. ILLUMINATION Ysa❑ No❑
Typa
4 SET BACK FROM PROPERTY LINE N
S__ E
_
(Specify which is front )
❑
❑
❑
1. TYPE Soiid[:] More Thon BO% OOen(]
Los
MATERIAL
FENCES
3. SET BACK FROM PROPERTY LINE N_
S__ E
_
_ (Specity whioA ia froM)
❑
❑
❑
I.
OTHER 2
13.
~
INSPECTION TICKET
i
JOB
ADDRESS I(AC) UJ V
DATE: 6- BLDG. PERMITB q q 9q
PERMITM
BLDG. CONTR. i~- ?2
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE SUBCONTRACTOR
(SETB4CKS OR PROJECTqNS INCIUDEA)
STREET NAME
SNOW OISTANCES FROM THE MAIN BUILDING TUADJOINING HWSES, STREEI
DISTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE DISTANCE
DATE INSP. REQ.~°~ S
TYPE OF INSP.
INSPECTION MAOE (I
REMAR~(S _
~ l,'
W.R.FORM 619
G~--~
APP!_IGCeTION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON MUOATpN SV TME BULDING INSPECTION DIVISION.
SsERFAlT WILL EMP;RE 60 DAYS FROM bATE AF ISSUANCE !F WORK IS NOT STARTED WITHNI THAT TIME
ELECTRICAL PERMIT
STATE LICENSE NO. ~a
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
:;C.tI9ttivU5A,MREr.7NCeFtSIZF 9fLL£Gltd.
FLOOR
BSM
IST
2N0
3R0
4TH
NQ
FLE4CkcNOne qlPtoporr Else$dar
NO.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HpT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS IOU
SHOWER
AIR CONDITIONING-8TU
L16HTING
SINK
OTHER
HEATING
CARBAGE DISF
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
ftefri a.ane Grou
UTILITY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
pounda Chor a
FIXTURES
DISH WASHER
AUTOM4TIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
~
ADDITION TO OlD WORK
OTHER
4
E
MOTORS OVER I HP
TOTAL FIXTURES
0U
I Mreby ocwnowledQe tnot this opplico-
PERMIT FEE
tion u correct ond understond thot I
Cannof tfort fhis project until ihis apDli-
USE TAX
(o O
tation it approved. I sholl comply with
tAa lawa ot tAe State of Colorado and to
TOTAL FEE
$
(oa
ths ZoninQ ReQulationa ond Buildinp
QppROV
CoCe ofihe City af Wl+eat RidQe. Any
D D
v"
vioiation of the above terma will cause
CHIEF BUILDI
INSPECTOR,Cit f Wheot Ridqe
immediafe revocafion of this Dermit
Date
~0 ieanb llOnalur~
-d J ~i'D
NOT ALID NLESS RELEIPTED
~f' -237 ~ S
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS