BLD2023-1274_Letter_10.12.2023_12.51.56_PM_3837904Atrium Condominium Association
Request for Board Approval
All requests for approval shall be emailed to the three members of the Board for review.
Requester:
Name W ► I e
Unit Number O 1
Date a a1.13
Request Type:
Check the box or boxes that best applies to your request.
Electrical
Plumbing
Window Glass
Structural
Flooring
Heating
Fireplace
Rental
Other
Cat(s)
Service Animal
Request Overview: 1.
Provide the what where, how, who, when of your request and if a Permit is required. Attach all plans, specifications, product
descriptions, etc that will allow the Board to properly access your project.
General Description of Request Q� V)' V1k6 e IK
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Contractor Information:
Company / Contractor Name
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License Number
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Insurance Company Name
Insurance Policy Number
Project Manager Name
Project Manager Contact Info
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Cell Phone 4z T- 6S/- 4162-' Email L, a - All 6, �+
Signatures:
Requestor
Signature
Date
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Board Approval
Signature
Date
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2
Contractor
Signature
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Date
After Board Approval:
Permit Number
Board Updates