HomeMy WebLinkAbout4240.5 Kipling StreetFOR OFFICE USE ONLY
City of Date:
-Y DEVELOPMENT
Building & Inspection Services Division
7500 W. 29e` Ave., Wheat Ridge, CO30033 Plan Review
Office: 303-235-2855 * Fax; 303-237-8929
Inspection Line: 303-234-5933
Building r it Application
Property Address:
Proptq Owner ('please print): C�1,4 Phone
Property Owner Email:
Mailing Address: (if different than property address)
Address,
CiState, ° Zip:
rc h k+ ng next E-mail.- Phone..
Contractors City License
Contractor E�rrra t A dr+6ss:
Sub Contractors:
Electrical: Plumbing: Mechanical.
W.R. City License # W.R City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this farm
NEW
COMMERCIAL
RESIDENTIAL
'. A: a STRUCTURE
. ELECTRICAL
a #A UPGRADE
NEW Aa COMMERCIAL STRUCTURE A s
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY
.. i 1V Y! STRUCTURE
M Mkk y:.fn shed, deck,
RESIDENTIAL
k iMECHANICAL
i a ACCESSORY
Ylb 91k YM.(Garage,
r * w n. deck,
s aSYSTEM/APPLIANCE REPAIR REPLACEMENT
PLUMBING SYSTEWAPPLIANCE
REPAIR
✓Nk a A. REPLACMENT
ELECTRICAL SXTE/APPLIANCE REPAIR or REPLACEMENT
Sq, FULF Btu's Gallons
Amps Square$ Other