HomeMy WebLinkAbout3320 Chase StreetFOR OFFICE USE ONLY
City of ire e. C k c
Building & Inspection Services Division 0 Ll" -
7500 W.2e Ave., Wheat Ridge, CO 80033 Plan Revs
ew fte:
Office: 303-235-2355 * Fax: 03-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Pleassoomplete all highlighted areas on both'sidesof this form. InOoVilPtsie aPpIloatforts may not be, p *
Property Address.*
Pres rty Owner (please print),
phone, _,
Property Owner °Email:
Mailing Address: (if different than property address)
Address:
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rchiteettEOgiii r E-mail.
Phone:
Contractor.
Contractors City License #.
Phone
Contractor E +'til dress. "
Sub Contractors:
Electrical: Plumbing:
Mechanical.
Wy R. City License # WA. City License #
WA. City License
Other dimity Licensed Sub,
tither City Licensed Sub.
City License #
City License #
Complete all information on ItC)TH sides of this farm
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