HomeMy WebLinkAboutPERMIT 1240 Big Thompson Ave Boiler 2019-07-17_________
Tovn of Estes Park l’crtnjt \ttii,her VI-153’
i’C’Application for lVliscdllaneous Permit ,sicattit E1,ires
Department of lliiililiiiiz Saktv 170 iacCregiti-‘rniie I’.O.Box 1200 Kstes I’:irk,(‘()80517
(;encntl lniiiriiialion &Inspection line (970)577—3726 *FAX (970)586—0249 *www.estes.oru I’crittii Iuxi)ircs
Job Address:/Z ‘/0 ë I4 co
Owner Name:,4L.eA*/r ?/o*’/£5 Phone:9O /l
Address:12 Yo $.f5?J 4Ve 6s FQrc
(SWeet)(Cliv)(State)(Li1,(‘ide)
Contractor/Applicant:71 ‘
Town License #:
______Phone:
Address:iS 4;—6 <4e ?a 17
(Sired)(Cit’)(Sioe)(Zip Code)
El Long—leriti Residential (?30 ilays)U SIii,rI—Ieim Residential (<30 tlays)ComnierciaI
LI Replace hi nut cc LI Gas Line (ft.)
Replace holler C Replace Windows
2keplacc hot Walet Heater U Install Air Conditioning
C Minor Pin in I)ilig LI Tenipora rv Stni,ctn rc Use_____________________________
C U mon Remodel lime I’enittd
_________________________________________________
U Fireplace Insert —circle one:Gas,Worn!.I’elIet;U Other
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\‘altiatioii ltstaI Cost of Material &lahor):S
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Ic jilt iiiiiineipal court.
Sign,ttirc
________________________________
Date Piiiii \ame
Office Use Only ***
lnspee-i ion Checklist:
El .-\ddress Posted U Iqti ipiiiciil Access U -I-&I’U Smoke Detectors
U Contractors liccisced Cl lxpnptnent lIsted Li (ias Pipe El Rough liispeetioii
U l’ermit Packet ,\sailabie U LttipiicnI Clearances U Vent U Final inspection
U Sale Access U Pan md Drat ii U Combustion Air
(innncntc:Permit Fee:7 3
(c’’siis 0 (‘onstruietioti liiic:Occnunic :—
Count’I;i:1 2.t
Iliiildmg ((I’—iii 4/Date
01 total:
I—,
**SMOKE ALARMS ARE REOUIRED**
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