HomeMy WebLinkAbout4650 Quail StreetFOR OFFICE USE ONLY
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Building & Inspection Services Division t-0
7530 W,29th Ave., Wheat Ridge, CO 80033 Plan Review
Office: 303-235-2355 * ax: 313-237-8323
Inspection Line: 303-234-5333
mail:errx is cl.whe trid e.co.us
Building Permit Application
Please completeall ht3h1131 ted areas on both elders of this form. Incomplete applications may not be processed.
Property address:
Property, Owner {'please Phone: -;�
Property Owner mail:
Mailing Address: (if different than property address)
Address.
City, State„ i
ArchitectlEngineer E-mail: Phone
Contractor: -17cip-001k **Id 11
Contractors City License . Phone.
ContractorE-mail Address:
Sub Contractors.-
Electrical:
Contrators.Electrical: Plumbing: Mechanical:
WK City License t# WA. City License # WA. City License #
Other City Licensed Sub. Other City Licenser) Sub:
City License# City License #1
Complete all information on BOTH sides of this for