HomeMy WebLinkAboutPERMIT M-93-02 Furnace 550 Marigold 2002-10-03TOWN OF ESTES PARK
MISCELLANEOUS PERMIT
970-577-3722 or 970-577-3728
ci 'small plumbing, mechanical, roofing jobs not requiring plans)
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LEGAL DESCRIPTION:
PARCEL ID#:
OWNER NAME: b)i)A0 OP-IY\
OWNER MAILING ADDRESS:
Town
(dower Alin A-0e
CO FOS 17
State
6'b
OWNER TELEPHONE #: (17o ) t56
Zip
LL
CONTRACTOR NANJE:
eX(V,I $7-1-0\/(c,- 62.0(1S( .tcri/JcoC Cce-P
TOWN BUSINESS LICENSE #: / o2-
CONTRACTOR MAILING ADDRESS:
ro,
Town State Zip
CONTRACTOR PHONE #: (6/70) 77(00a
DCR,IPTION OF WOK:
`t‘
Valuation of Work:
I hereby acknowledge that I have read this
Application and state that the above is
correct and agree to comply with all Town
Ordin ces and State Laws, regulating
build' g coiitructlon and zoning.
171?) /0
ature Date
7tid cg. ez,
e \-f
M- 93 • o 2_
FOR OFFICE USE ONLY
Type of Construction:
I-FR II-FR II 1-HR II-N III 1-HR
III-N IV HT V 1-HR V-N
Occupancy Group
A. B, E, F, H, I, M, R, S, U
Division
1, 2, 2.1, 3, 4, 5, 6, 7
Census Bureau #: e13 -/
Valuation of Work:
Building Permit Fee:
Larimer County Tax:
TOTAL FEES DUE:
$ 2100.
573. 5
$ `f
CLASS OF WORK:
ALTERATION
REPAIR
The Building Department will make every
effort to prevent errors in your
Application and Permit, but cannot be
responsible for your failure to comply with
all Building, Zoning and other applicable
Codes.
ks1 i(kApt,
Building pTficial Signaeure
Date
Revised: April 10, 2001 Building\ forms \misc_penwpd