HomeMy WebLinkAboutPERMIT M-031-05 water heater 630 Pinwood Lane 2005-02-22háIW.dI.e....,WtW.WIIWI!iJIiViI.W,.Jtflt,fl4dI’I”I2/22/OsTownofEstesParkPermitNumber1403105ReceivedBy‘fliOApplicationforMiscellaneousPermitfleidDepartmentofBuildingSafety170MacGregorAvenueP.O.Box1200EstesPark,CO80517GeneralInformation(970)577-373tInspectionLine(970)577-3731*FAX(970)586-0249Cop)’JobAddress:(o3_0{)__-(jjrwjr)/-vt_________OwnerName:boy’.t)\VtCkPhone:q7QC9yAddress:>3QP’\eu.iocacjLa.öSO’bK&o&DSf7(Street)(City)(State)(ZipCode)ContractorfApplicant:QC&{,.I$WTownLicense#39°i__Phone,92o?&Y/?5Address:9OcEoST(Street)(City)(State)(ZipCode)MkesidentialCNon-ResidentialCAirConditioningInstallationOGasLineCft.)LIReroof(Commercial—PitchedOn’y)CGasLogInstallationRoofClassificationABCNoNewFurnaceInstallation#ofSquares__WaterHeaterInstallationCReroof(Residential)LITemporaryStructureUse#ofSquaresTimePeriod________________________CSidingDDemoStructureCWindowsCFircñvaterDamageLIDrywallCOtherDescriptionofWork:‘M1E6pAValua:ion(TotalCostofMaterial&Labor):S(_)Icertifyhisapplicationisrueandcorrectandagreetopcrfonntheworkdescsibedaccordingtoplanslspecificalionssubmitted,reviewedandapproved,andcomplywithlocalordinances,slateandfederallawsaswellasbuildingcodesIcertifythatIhavetheprepermyowner’sauthorityandpermissiontoapplyforthispcrrnit.Additionally,IUNDERSTANT}IATIAMRESPONSIBlEFORANYFEESOREXPENSESINCURREt)FOItPLANREVIEW,PERS11TS,INSPECTIONSANDOTHERFEESASSOATEDWITHTBAPPLICATION.Signatwe2UsAd&ACDataP&PrinINameaw_______***OfficeUseOnly***StatiComments:PermitInformationFeePermitFee:4t5Censuc#CountyTax:DateBuili3OffieiaI-“pCZ-ZZ--06Total:‘S35g’çC‘lIAa,.,.Revised3112/04/