HomeMy WebLinkAbout6795 W. 33rd AvenueCity of tater � _
Rd 44 10/3_6
J�C;OrMMUNITY��
L MENT" PlanAOlermit
Building & Inspection Services Division )-o 0
7500 Wi 29th Ave., Wheat Ride, CO 80033 Pun Review Foe:
Office. 303-235-2855 * Fax: 303-237-892
Inspection Line. 303-234-5933
Email; Mrmb@gi.jteatridoe.co.us
Building er it Application
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303-239-0830
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Address:6795
Ci!y, State, Zip: Wheat Ridge, CO 80033
Champion Windows
20146 * 303-375-0745
*kparkman@getchampion.com
Plumbing:
4t RL Cftm License#
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,110 0 A- . 11- 00
NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck,
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEMIAPPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEWAPPLIANCE REPAIR or REPLACEMENT
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Amps Squares Other
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$1706.00
OWNER(CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
-wMi-appkadWe-CiTy4 i iles
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application, 1, the applicant for this building permit application, warrant the
truthfWness of the in fornation provided on the application.
(OWNER) (CONTRACTOR) a (AUTHOR REPRESENTAT E) of (OWNER) (CONTRACTOR)
Parkman DATE:
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[3 1 understand that checking this box, that I acknowledge that this constitutes a legal signature.
Buildina Division Valuation: