HomeMy WebLinkAbout202201791 - 3362 Simms St - Application_Page_1KNThis m,I originated from outside of the organization Do net Lick link or open attachments unless you
recognize the sender and know the content is safe Report any suspicious actividestothe IT klolAon.
PER BTU
From: Com mDay Permits 6arm tts@ d. wM1 eaMtlge m. uU
Sent Montlaµ August 8, 20221156 AM
To: Perm DEADaaafotla y. mm
Cc Comm Dev Perm its<Perm tts@ d. wM1 eafridge m. HE,
Subject RE Online Form Submittal. PERMIT APPLICATION Wafer Heater Replacement
Good mom in id
Can you please pm at us th e BTO am on nt for s HWH 2Please rephond to th is am ail in24hoursor
we will h a ve to re ecf You r a Polll cation
Thank you
Kallah Heiner
(they, eheryWOYIDs
Permit Technician
Building Division
Cly Of
KWheat Ln��
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Sent Montlay, August S, 20229.17 AM
To: Com mDay Parm its OFarm ts(@ a of ea6aee m
Subject On l In a Form STbmlttal. PE RMIT AP PLICATI ON W star Heater Real amment
CAUTON This email originated from outside of the organization Do net click link or open attachments unless you
recognize the sender and know the content is safe Report any suspicious actividestothe IT klolAon.
PERMIT APPLICATION Water Heater Replacement
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KNThis m,I originated from outside of the organization Do net Lick link or open attachments unless you
recognize the sender and know the content is safe Report any suspicious actividestothe IT klolAon.
PER BTU
From: Com mDay Permits 6arm tts@ d. wM1 eaMtlge m. uU
Sent Montlaµ August 8, 20221156 AM
To: Perm DEADaaafotla y. mm
Cc Comm Dev Perm its<Perm tts@ d. wM1 eafridge m. HE,
Subject RE Online Form Submittal. PERMIT APPLICATION Wafer Heater Replacement
Good mom in id
Can you please pm at us th e BTO am on nt for s HWH 2Please rephond to th is am ail in24hoursor
we will h a ve to re ecf You r a Polll cation
Thank you
Kallah Heiner
(they, eheryWOYIDs
Permit Technician
Building Division
Cly Of
KWheat Ln��
MI UN frog D[v[ NT—� W •
'�IIlr
From: n of bad I@ a of ea6tlee ceow n6m
y@ a wh eatlee u9
Sent Montlay, August S, 20229.17 AM
To: Com mDay Parm its OFarm ts(@ a of ea6aee m
Subject On l In a Form STbmlttal. PE RMIT AP PLICATI ON W star Heater Real amment
CAUTON This email originated from outside of the organization Do net click link or open attachments unless you
recognize the sender and know the content is safe Report any suspicious actividestothe IT klolAon.
PERMIT APPLICATION Water Heater Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Do Not use this form if the Water Heater is changing locations or if this
is a conversion to a Tankless Water Heater. Please use the General
Permit Application for a more comprehensive review.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address 3362 Simms St
Property Owner Name Diana and Leonard Chavez
Property Owner Phone 303-935-6634
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if not
known)
desti nationsbvd ianaO msn. com
Attach City of Wheat Ridge City of Wheat Ridge cc authorization ndf
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
CONTRACTOR INFORMATION
Contractor Business Name AAA Service Plumbing
Contractor's License 017953
Number (This is a 5 or 6
digit numberfor the City of
Wheat Ridge)
Contractor Phone Number 303-313-3333
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
ermits aaatoday com
ermits aaatoday com
40
Is the water heater GAS or gas
ELECTRIC?
If GAS, enter # of BTUs. If gas
electric, enter n/a
Where is the water heater closet
located (for example,
basement, crawlspace,
etc)?
Project Value (contract 3036
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
for work under any permit
issued based on this
application.
I understand that work may Yes
not begin on this property
until a permit has been
issued and posted on the
property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application and
to perform the work
described above.
I attest that everything Yes
stated in this application is
true and correct and that
falsifying information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Permit came
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