HomeMy WebLinkAbout3350.5 Kipling StreetFOR OFFICE USE ONLY
City C3 Dates
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Building & Inspection Services DivisionDivisionC5
7500 W. 29th Ave,, Wheat Ridge, CO 80033 Plan Review
Office: 393-235-2855 * Fax. 393-237-8929
Inspection Line: 303-234-5933
Building ` Application
Property Address:
Mailing dress. (it different than property address)
Add
Ci!y, State, f
5\ 6
ry y
ArchitectfEnvineor E -mall Phon
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Contractor:
Contractors City License #. Phone: 31 91
Cant ctor l dress: C C V
Stub Contractors.-
Electrical:
ontr + torsElectrical. Plumbing: Mechanical:
I.
W.R. City License # WR City License # W.k City License
Other City Licensed Sub: Other City licensed Sutra.
City License # City license #
Complete all information on BOTH sides of this form
0 NEW COMMERCIAL STRUCTUREELECTRICALP}
COMMERCIALNEW RESIDENTIAL STRUCTURE
COMMERCIAL 1:. D R O RESIDENTIAL
" I } AIR
ACCESSORYWINDOW REPLACEMENT
COMMERCIAL (Garage, shed,
deck,
RESIDENTIAL
} }e! STRUCTURE
(Garage, shed, deck, etc.)
PLUMBINGMECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
SYSTEM/APPLIANCE
. IM!i REPAIR
R. M }M or • RL }
CMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMEN
Sq. FULF Btu's Gallons
Amps Squares Other
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