HomeMy WebLinkAbout4100.5 Kipling StreetFOR OFFICE USE ONLY
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Building & Inspection Services Division
7500 W. 29th Ave., Wheat Midge, CO 80033 Plan Review
Office. 303-235.2855 * Fax: 303-237-8929
Inspection liner 303-234-5933
'Building Permit Application
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Property Address: n
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Property Owner mail:
Mailing Address: if different than property address)
Address:
City, State, i
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Architect/Engineer E-mail: Ph
C ontr ctoir:
Contractors City License#: Phone -
Contractor E-mail dress;
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City license # WR City license #W.R. City license ##
Other City Licensed Sub: Other City licensed Sub.
City license # City license ##
Complete all information czar BOTH shies of this roan
NEW COMMERCIAL _ + UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL
1 A. ,i M! STRUCTURE
IFM11 (Garage,
*s shed, deck,
MECHANICAL
A A ••A REPAIR
M i..M oREPLACEMENT
f ID A.
PLUMBING SYSTEMIAPPLIANCE REPAIR or REPLACMENT
ELECTRICAL
SYST�MIAPPLIANCE
REPAIR
• tdlf * REPLACEMENT w AA
OTHER VAII
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