HomeMy WebLinkAboutPERMIT 593 Audubon St Water Heater 2008-03-20Received Date 2.0106 Town of Estes Park Office
Copy Permit Number M- ° 4 5 °
Ce Application for Miscellaneous Permit Application Expires il(1,0 t9 6 Received By
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 FAX (970) 586-0249 * www.estesneLcom Permit Expires • 1`2/C 1`D
Job Address:
Owner
Address:
Address:
4.56 3 bi b,tA -3s- -Ls -3 220 0 c
_..--
Name: Qa. 1- Thairtr01 ile-41deArcpvl...... Phone: ??C, "5"--83-963?"
93 d ad ubo 1/11,030)(913 6-5cie2) Avg- co g0 G7 -7
Contractor/Applicant:
(Street) (City) (State) (Zip Code)
/ 1 1-ii /,
ih. SI/cane-dr Town License #:/0 ?O Phone% -4/40 ?-1
3577 65/e-P14, 69 4gC677
(Street) (City) (State) (Zip Code)
eLong-term Residential (> 30 days) 0 Short-term Residential (< 30 days) 0 Commercial
0 Replace Furnace
Water Heater
- circle one: Gas, Wood,
( ft.)
Windows
Conditioning
Structure Use , ,,
• Gas Line
0 Replace • Replace Boiler
Et-Replace Hot • Install Air
• Minor Plumbing • Temporary
Time Period 2it--- • Minor Remodel
0 Fireplace Insert Pellet; • Other
Description of Work:
Valuation (Total Cost of Material & Labor): $ / 7 Q Op CO
(Owo 3 .
I certify this
local ordinances,
UNDERSTAND
with municipal
Signature
FEES ASSOCIATE
application is true and comet and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
state and federal laws as well as building codes. [ certify that I have the property owner's authority and permission to apply for this permit. Additionally, I
TH . I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
tl ITH THIS A LICATION. Note: The work authorized by this permit requires the building be provided with smoke alarms complying
cod
/ It Date3 -4 -Ogrint Name l't tildi S
*** Office Use Only ***
Inspection Checklist:
0 Address Posted 0 Equipment Access 0 T & P 0 Smoke Detectors
0 Contractors Licensed 0 Equipment Listed 0 Gas Pipe 0 Rough Inspection
0 Permit Packet Available 0 Equipment Clearances 0 Vent 0 Final Inspection
0 Safe Access 0 Pan and Drain 0 Combustion Air
Comments:
J \DA to lam- Arl. Cliirrli ILIVA C ("'
Permit Fee:k...id 0 , ..1.,,k.
Census #
41 3 csr
Construction Type:
N1 /44(7
Occupancy: _
-(-1Lf t- County Tax:
U . 1 S
Bui aii
7
--
Official el
7 -1i'o W
Date
U r ) \,o'd
Total : LI, Lo . 6 ci
**SMOKE ALARMS ARE REQUIRED**
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