HomeMy WebLinkAboutPERMIT 1258 Big Thompson Ave Replace Existing 3/4 Galvanized Service 2012-08-29ReceivedDate
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Town of Estes Park PermitNumber M-I.-r
....7•-yr —
Received By Application for Miscellaneous Permit Application Expires ‘d Ij
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 ,—,-i’
General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.org Permit Expires )z_,,g
Job Address:/2 5 g1,Y71pSc,’I /E
Owner Name:W\LLu 2uR)F Phone:9?L’793
Address:J2T,Gii-flt11flPS5A/A ErS
(Street)(City)(State)(Zip Code)
Contractor/Applicant:vi k c’I’io”J,ZJC—Town License #:/t’t Phone:971)2I çzj
Address:9 i,Zu/-(A tR
(Street)(City)(State)(Zip Code)
U Long-term Residential (30 days)EJ Short-term Residential (<30 days)U Commercial
D Replace Furnace U Gas Line (ft.)
D Replace Boiler C Replace Windows
C Replace Hot Water Heater C Install Air Conditioning
C Minor Plumbing U Temporary Structure Use_______________
C Minor Remodel Time Period
___________________________
C Fireplace Insert —circle one:Gas,Wood,Pellet;C Other
DescriptionofWork:::4L a€c J(C-Lt L/i’7L te 2c’pp.r 5TlAJ63/4/’
TAf LAl’J L)Se&I”Oaoper ij;,+Aer ø4 Pssibk
9et +eJor,J.q/er SLpfr.
Valuation (Total Cost of Material &Labor):$za.
I certify this application is true and couect and agree to perform the work described according to plans/specifications submitted,reviewed and appioved,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 pennit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AN])OTHER
FEES ASSOCIATED WITH TillS APPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complying
with municipal codes.
Signahe i)fr S Date 277—PtintName GAFAIJ B u’zi&
***Office Use Only ***
Inspection Checklist:
U Address Posted U Equipment Access U T &P U Smoke Detectors
U Contractors Licensed U Equipment Listed U Gas Pipe U Rough Tnspection
U Permit Packet Available U Equipment Clearances U Vent U Final Inspection
U Safe Access U Pan and Drain U Combustion Air
Comments:Permit Fee:33 2
Census #Construction Type:Occupancy:County Tax:
Building Official Date Total:9
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