HomeMy WebLinkAbout4008 Ames StreetFOR OFFICE USE ONLY
City of Date:
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COMMUNny DEVELOPMENT PlanlPermit #
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee.,
Office: 303-235-2855 * Fax� 303-237-8929
Inspection Line- 303-234-5933
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address: lco�; 4j")'WS S*
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Property Owner
Mailing Address: (if different than property address)
Address:
Cit
Architect/Engineer E-mail: Purer_ ______
Contractor: �C_ A�A
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Contractors City License #: Phone._7,�.'O
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W. I. 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 form
NEW COMMERCIAL STRUCTURE Q ELECTRICAL S[RRVICE UPGRADE
NEW RESIDENTIAL STRUCTURE • ROOFING
COMMERCIALADDITION El RESIDENTIAL ROOFING
RESDENTIAL ADDITIONI1 • REPLAOEM15NT
COMMERCIALACCESSORY
STRUCTURE (Garage, shed, deck, etc.)
ERESIDENTIAL ACCESSORY STRUCTURE
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a x SYSTEM/APPLIANCE A.
REPAIR
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EPLUM.:. SYSTEM/APPLIANCE REPAIR
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REPLACEMENT a
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tnt of materials to be used, etc,}
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