HomeMy WebLinkAboutPERMIT 2305 Arapaho Rd Water Heater 2013-05-07Contractor/Applicant: r to h 1.4 Town License #:0'71 Phone:5:Pc,-S143...5--
(CityL (State) (Zip Code)
Long-term Residential 30 days) 0 Short-term Residential (< 30 days) 0 Commercial
Description of Work:
71.-7 \ 0 IN
3
UT&P
0 Gas Pipe
Vent
Combustion Air
Ei S oke. Detectors
I 0 rough Inspection ,
Final Inspection 1( (
0 Equipment Access
0 Equipment Listed
0 Equipment Clearances
C Pao and Drain
Inspection Checklist:
CI Address Posted
0 Contractors Licensed
CI Permit Packet Available
Safe Access
Job Address: 01 3 OS -1A r ,61.-?6,1\ v .R4k
7
_:___
Owner Name: 146..il i::, 1).-Y- ol...4 Phone 7 310- 90o I
Address: 0.5 A--,° ' ---•(' t. C_,C) R_C:)+1) / 7
(Zip Code)
c,,he_, -
(Stree (City) (State)
CI Replace Furnace
Replace Boiler
,21 Replace Hot Water Heater
Minor Plumbing
Minor Remodel
Fireplace Insert - circle one:
0 Gas Line ( ft.)
CJ Replace Windows
Install Air Conditioning
Temporary Structure Use
Time Period
Gas, Wood, Pellet; 0 Other
.4111111. .411•\.
,aimmammir
Valuation (Total Cost of Material & Labor): $
j 3 L.) ---
I certify this application is true and correct and agree to pirform the work described according to plturdspacifleations submitted, reviewed and approved, and comply will)
local ordinances, state and federal laws as well as building codes, I certify that I havo the property owner's authority and permission to apply for this permit; Additionally, I
UNDERSTAND THAT I AM RESPONSIBLE non ANY FEES DR 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.
17atc-5- S Print Name
*** Office Use Only ***
Comments: Permit Fee: 50.95
Occupancy; Construction Type:
4 . 16 County Tax:
Date
2043 -D5 -08 Total :
Census #
05-07-13;14:59 ;From:Protech Plumbing & HeatinTo:5860249 ;9705868195 # 1/ 1
Received Date -20,3 -Ds--o-7
o ffice
Goo Town of Estes Park Permit Number M- 04'3 - 13
Received By aia Application for Miscellaneous Permit Application Expires /1 - 4 -2913
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 Pi' FAX (970) 586-0249 * www.e4csnet.cpm Permit Expires i° 31 -24:21 S
**SM KE ALARMS ARE RE UIRED**
9
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Revised 7/14/2006 - C13