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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�� 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 TO varod, Pei Sumert: RE CAT,Naport,Hea�Yepa�r~ Cover,Isites � 20at2<et5He 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 Email not displaying correctly? View it in your browser.