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HomeMy WebLinkAboutPERMIT 880 Black Canyon Ave Boiler 2019-05-08Received Date j 8’‘H 9’cwo,,r i?n4,,]iJi,fl tOA ______ ILQPV’JLI tW1L ?9 iL it2 PennitNumberM-U Lv” Reeked z________icThLr’f!sce]W©itS Feri&t Application rxnires 1/ Deporilnent of iirñ!ding Safctv 170 PincCregor Avarice P.O.3ox 2Oi Estes Parir,CO SOSr7 Line 9iO)577-3726 VAX(970)5864249 “inwsstessr.g Permit Expires &ttci 303-359—SisS P Owner Nmte Den n ;c L-i),d.g.R-°vn ko IZi2-r Phone: ___________________ 1 “Address:3a.n.-qtt (Street)(City)(Stale)(Zip Code)d CoatractorIAppicaat:Piotect2 Plumbing arid Heating Towr Licease #:1588 Pho2e:970-586-8195 Address:950 Comanche St.Unit A,Sates Park 00 80517JL.....•...(C1P4 (State)(Zip Code) Long-tone Residentia (30 days)-Usiwrt-term ResIdential (<30 tisys)0 Commercial — p 0 Reolace Funiece U Gas Line (‘t)eplacc Bailer U Repbce Winows H C Replace Hot Water neater C Knst!i Air Codi&uig 0 Mthor Piumbing U Tenoorary Stnieture Use_______________ U ivXiaor Remodei Time Period ____________________________ U Ffrep)ace Inseil—circle one:Gas.Woed,Pellet;C Other DescriptionofU’odc:--..-R#tc.t ---—- aluaton (Total CorofMaenal &Labor)s certify this applicrnion is micand correct and aire to perform the work described aecordinaro plans/specifications submitted,reviewed and oppmved and comply vith local ordinances,slatcand federal laos as v.tll as building codes.I cenify dial I have the property owncr’sauthenty and permission toapply forthis penntt.Additionally,I tii\nEgsmru’ra4Ts it,&s ro os op:at cs CURCD rQp °L’PS,1DW pEqasrS !NSpECtO?S 41’iD OThE” P€S ASSOCIATED WITH THIS APPLICATION.Nult;Th2 work authorizrd by this pomif renuirrs lh building ‘or croviried with smoke alarms complying ith monidpal cod vate.!/j2.PrintName Kera Baker — ______ -.—. Ofike Use Ouy .Inspection Checklist :10 Address Posted U Equipment Access U T &P 0 Smoke Detectors A 4 U Contractors Licensed U Equipment Listed U Gas Pipe Rough Inspection JO Permit Packet Available C Equipment Clearances U Vent pFal Inspection ‘ I C Safe Access C Pan and Drain C Combustion Air U Comments:PermitFee:2(5.2:5 :Cejisus I?j Cunslruelioa Type:Oecupaucy: I Corinty Tax: ..cc Building Offi I flate H fla fl7&4i \\Scrvcra\cnmrn dcvMluildinsWonnsSAppjjcntions\Ovcr tha Counter Page loll Revised 3/29/2012-CU