HomeMy WebLinkAbout202201716 - 4005 Independence Ct - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler
Date: Thursday, July 28, 2022 1:00:13 PM
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PERMIT APPLICATION Air Conditioner/Evaporative Cooler
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT 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.
PROPERTY INFORMATION
Is this a new install or
Replacement of Existing Unit
replacement for an
existing AC unit?
Is this Residential or
Residential
Commercial?
Property Address
4005 Independence Ct Wheat Ridge, CO 80033
Property Owner Name
Pat Dowell
Property Owner Phone
720-341-2323
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
patmd52@yahoo.com
Address
Attach City of Wheat
Wheat Ridge Payment Form 2022 Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Blue Sky Plumbing & Heating
Name
Contractor's License 017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email randyp@blueskyplumbing.com
Address
Retype Contractor randyp@blueskyplumbing.com
Email Address
DESCRIPTION OF WORK
What type of Evaporative Cooler
replacement unit are
you installing?
How many tons is the 0
unit?
For AC - what is the 3450
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit roof
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for No
re -hook?
Project Value (contract 6631.00
value or cost of ALL
materials and labor)
Yes
I assume full
responsibility 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 Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Randy Palato
Pe rm it
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