HomeMy WebLinkAboutOnline Form Submittal_ PERMIT APPLICATION Furnace_Boiler Replacement_Page_2CONTRACTOR INFORMATION
Contractor Business
Elkhorn Heating & Air Conditioning, Inc.
Name
Contractor's License
100310
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-975-8809
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
KIMBERLY@ELKHVAC.COM
Address
Retype Contractor
KIMBERLY@ELKHVAC.COM
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
100
What is the efficiency
80
(%) of the unit?
Is the unit GAS or
GAS
ELECTRIC?
Where is the furnace or
MECH ROOM
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
7500
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes