PD145R2-CS 990628PATRICIA VANDEUSEN
BOB GIBSON
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
~t: ~ Bl~k: ~ Su~ivision: ~ b;~ ~[;f~ Pha~ or Section Number:
Owner .~/~,~ ~ ~S~ Addre~: (~ ~,,~ ~ ~_ Phone0: ~_ ~_
Contractor: ~~ ~~ Addr~: ~// ~~~ ~.~ Phone0: ~/~ ~_
~ription of Work to be Done Cla~ of Work: ~ New ~ Addition ~ Alteration ~ Repair ~ Demolition
Area of Building in Square Feet
First Floor G~u~ge ~:~ ~ -~[~- Value of Work
,o o
Second Flor O~er
GRAY AREA FOR O~CE USE ONLY
NOTICE Permit F~: Receipt Number:
~is ~it ~comes null and void if work or construction autho~d is not core.riced Zoning Distri~: Occupancy Classification:
within 180 days. or construction on work is sus~nded or ab~doned for a ~fi~ of 180 days
at any time after work is commenced.
Approved By: Date:
I ~by ce~ify ~a~ [ have mad ~d examined this application ~d know t~ sa~ to ~ tree
~d co.ct. All ~visions of laws ~d o~inances governing ~is ty~ of wo~ will ~ Comments:
complied with w~er s~ified ~rein or no~, ~e granting of a ~it d~s not p~su~ to
give au~orily to violate or cancel I~ provisions of any m~r federal, state or I~al law
regulating construction of the ~o~ce of construction.
Sig~m~ of Comracmr or Am~6zed Agem ~m Name
E]ec~ca{ Comracmr Plumbin8 Comr~mr Mech~ical Comraclor
FPMC - I (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
CON~ULTAN .'~
'7?7 $. H~,RRISON STR[ET SL)~.'i~ 600 .:~(:(:~CD 9': ~O
0E~v~R. CO 802'~0
(503) 755-883,5 ~,'
'W','IH '/2" r~;A. X 10" ANCmOR BC-_~S .~ ~ x
~.N~m ~R~
OR EQU~VA_E~-~.w~_~ ~' ..... '~' ~ ~ -
M:NI~'~ T~,~. ~ER R'ECE A~D ExZ ~_ S
AT 4'-0 ~ ~ t~AX.
/
/
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/ ~ FIB[RMES~ CONCRETE .: REC'JR~C'
6" C._EAR ~ ~ /
] ~,~ / ~ '~ ~NO.STURBE~ S.~:_
//. : ~ OR STRuCTJRA_
2500 :S ....... ""
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FOUNDATION DETAIL
RICHARD
TUFF SHED, INC.
~777 S. HARRISCN STREET S~-E 600
DENVER. ~
~ 80213