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HomeMy WebLinkAboutPERMIT M-105-15 440 Valley Rd, water service 2015-06-04.o,SpEaCECE Received Date 9 e w of .Estes Par Permit Number M/26 — Received By A s plicatio f©r Miscell ne a us Per i Application Expire's Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 General Information & Inspection Line (970) 577-3,726 * FAX (970) 586-0249* www.es(es.org Permit Expires / Job Address: 11'-/ „- Owner Name:0,r \ Lc/ r\ et A (.) Address: (Street) ,PL-0 Ph On e: C) (State) (Zip Code) Contractor/Applicant: Town License #: Phone:6T:56 230 Address:). 6;) i(2)(e0) 1"): Street O An -term Residential 0 days CI Sliort4 Residen (City) 0 das State Z:i ('ode) cial O Replace Furnace O Replace Boiler O Replace Hot Water Heater O Minor Plumbing O Minor Remodel O Fireplace Insert — circle one: Gas, Wood, Description of Work: • 1-6 0 Gas Line 0 Replace Windo O Install Air Cond, O Temporary Stru Time Period Pellet; 0 Other 1:1,4,PPREEMEDE p,p. Use fL - Valuation (Total Cost ofMaterial & Labor): 1 certifythis application ES truc and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with local ordinances, state and federal laws as well as building codes 1 certify that 1 have the property owner's authority and permission to apply for this permit, Additionally, IINDERSTAND THAT' I AM .RESK/NSIBI...E FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,. 'PERMITS, INSPECTIONS AND OTHER FEES ASSOCIATED WITH THIS APPLICATION'. Note: The work authorized by this permit requires the building be provided with smoke alarms complying with municipal codes. Office Use Only *** Inspection Checklist: 0 Address Posted 0 Contractors 'Licensed 0 Permit Packet .Available 0 Safe Access 0 .Equipment Access D Equipment Listed. 0 Equipment Clearances 0 Pan and Drain T & P D Gas Pipe. 0 Vent 0 Combustio.n Air Cl Smoke Detectors 0 Rough Inspection 0 Final Inspection 42. oc, e tvera \coin m (ley\ f3uIlding,\ Forrns ArmIications',.Over the Counter Page I of I Revised 3/29/20 I - CB