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Building & inspection Services Division
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7500 W. 29`x' Ave., Wheat Ridge, CO 80033 Prep Review
Office: 303«235-2355 " Fax: 303.237-8929
Inspection Line. 303-234-5933
Property Address.*
Property Owner (please print): Phone:
Property ner Email -M,
Mailing Address: (if different than property erty d+ r s)
Address:
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Contractors, City License M., h
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Contractor E-mail, Addieis:mw�C2n ___LLt LL -C, (I'ov, Ea
Seib Contractors.*
Electrical: Plumbing: Mechanical:
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W, R. City License ## W.k City License ## W.R. City License
Either City License Sub. Other City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this fear
0 NEW COMMERCIAL STRUCTURE ELECTRICAL r UPGRADE
NEW RESIDENTIAL STRUCTURE` a
COMMERCIAL ADDITION RESIDENTIALROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL a•r a REPAIR o REPLACEMENT
a.
PLUMBING a..r r a REPAIR
..a s or REPLACMENT
ELECTRICAL asr a REPAIR or •' as .
CEMENT
amount of materials to be used, etc. '
Sq, FUL.F Stu's Gallons
Amps Squares Other