HomeMy WebLinkAboutPERMIT 540 Birch Ave Replace Plumbing 2011-02-2202/22/2011 13:16 9705863198 MOUNTAIN VALLEY PLUM PAGE 01/01
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Town.of Estes Park CO40prmitNIImher Mjfl I Y,c i
Received By Application for Miscellaneous Permit Application Expires
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Department of Building Safety 170 MacGregor Avenue P.O.Bo 1200 Estes Park,CO 80517
General Information &Inspection [.me (970)577-3731 *FAX (970)586-0249 *www.estesnetco,rn Permit Expires -
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74 )o5-f•O17_.
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Owner Name:z t\__Plione:.1o Of-4/3
Address:lfl qote I
ContrnctorfApplicant:License l:Wfl Phone:SS
4ddress:_5 onqe1fl —-_..,-.CO
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(çe (Zipçodc)
-P Long-term Residential (30 days)0 Short-term Residential (<30 days)%Cmnmei’cinl
0 Replace Furnace 0 Gas Line (ft.)
0 place Boiler U Replace Windows
‘i.çplnce Hot Water Heater 0 Install Air Condidoning
“Minor Plumbing 0 Temporary Structure Use
0 Minor Remodel Time Period
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U Fireplace Insert —circle one:Gas,Wood,Pellet;0 Other
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Work:ReeIcA.c-a--c-t’s -‘.4-L[i.43cSet-c_4qr (54L.o(_AS N\e.to)OO
561 M1O*(ILdO aJ)t f144L44CI
Valuation (Total Cost of Material &Labor):S Ob’O
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certify this app1 leaden it true rind correct croci agree to perfoLirl the work ci each bed accord ng to p1ccrrs/speeifieations auhmittecl.reviewed md approved.mci comply with
local ordinances,stare aad feders laws us wel us be ithing codes,I eertit that I Ii ave rh e property owner’a authority unci permission to app iy tar this pemlit.Additionally I
IJNDItRSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLA’4 REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCTATEI)WITH TillS APPLICATION.Note:The work authorized by i:I,is permit requires the building he provided with smoke alarms complying
with municipal codas,
evs Dr.fte..24ft h’rirr Nunre Q,fltt.
Office Use Only ***
Inspection C]iecklisi::
C Address Posted C Equipment Access C T &P C Stiiolce Detectors
0 Contractors Licensed l Equipment Listed C Gas Pipe C Rough liispectiott
C Pennit Packel Available C Equipment Clearances C Vent C Final inspucliun
U Safe Access C Pan and Drain C Combustion Air
Corn meats:c.I’)j”O P
—k/7.t5
Census #anruion Type:4O4 Zounty Tax:3t.
Building O$cial J Date
.../‘AJtrL.Z(lr...r-ei Total:99SQ..
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SMO KEA L,,RMS ARE flQU RED*
Received Date
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Job Address:5s/
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Signature
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