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HomeMy WebLinkAboutPERMIT.PLANS B-11235 900 Moraine Avereataurant grease hood 2019-11-15Re( Ret civet! 13y App 1. 131;0441g enera14nforrntttion,&.4ns Job Address: Owner Name: Address: 99A/ Contractor/Applicant: Address: 9161,27 Town of Estes Park Permit Number ation for Miscellaneous Permit Application Expires 'afety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 ction Line (970) 577-3726 * FAX (970) 586-0249 * www.cstes.org Permit Expires (11///10/:41 ) (Street) 731‘172 (liCri.CG' 4? Phone: (City) exiL, Town License #: /76 o,oic_79-. (City) 0 Long-term Residential (>30 days) 'rrs- ▪ o (State) (Zip Code) PilOne: '? 5/ (State) (Zip Code) 0 Short-term Residential (<30 days) Or/Commercial 0 Replace Furnace 0 Replace Boiler 0 Replace Hot Water Heater 0 Minor Plumbing O Minor Remodel O Fireplace Insert — circle one: Gas, Wood, 0 Gas Line ( ft.) 0 Replace Windows El Install Air Conditioning 0 Temporary Structure Use 7ime Period 0 Pellet; Other Description of Work: e a /2\Es Valuation (Total Cost of Material & Labor): 5--00 - 62) .1111111111111111111Mil 1 certify (his application is true 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. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, UNDERSTAND THAT I AM RESPONSIBLE 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 mimic' al e des. Signature t, *** Office Use Only *** Inspection Checklist: 0 Address Posted 0 Contractors Licensed El Permit Packet Available 0 Safe Access 0 Equipment Access 0 Equipment Listed 0 Equipment Clearances 0 Pan and Drain 0 T & P 0 Gas Pipe 0 Vent 0 Combustion Air 0 Smoke Detectors 0 Rough inspection 0 Final Inspection Comments: Census # Building Of cial Construction Type: Occupancy: Date / / ,1/ Permit Fee: VILA.) 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