HomeMy WebLinkAbout6003 W. 41st Avenuemoms
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FOR OFFICE USE ONLY
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City of
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Buildings &Inspection Services Division
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7500 W. 29th Ave., Wheat Ridge, CO 80033
Office; 3{ 3.235-28 5 * Fax. 303-237-8929
Man Review Forel `
Inspection Line. 303-234-5933
mail:errraits ci, hestrid e. o qs
Building Permit
ication
Application
Please omplete all bighllghted areas, on both sides of this form. Incomplete pll 0 may not be processed.
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Property Address.
prtap+ C?rtlaer (please print): M tw6sf''+
Mailing Address.; (if different than property address)
Address:
City, Bute, i
Architect/Engineer E- malk
Phone:
Contractor: IN AfSLW JX,
Contraotori City, License #�;
Ph+re
contractor E-mail
Sub contractors:
Electrical: Plumbing:
Mechanical:
WR City License # W.k City License #
W.R. City License '#
Other City Licensed Sub:
tither City Licensed eats,
City License #
City License
Complete all information on BOTH sides of this far
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Subject to Field Inspections
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