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HomeMy WebLinkAboutPERMIT 1399 Cedar Ln Plumbing 2011-05-23Office Received Date Town of Estes Park Copy Pert Number M-i’Z 2 Received By Application for Miscellaneous Permit Application Expires Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 1.0 7Generalluformation&Inspection Line (970)577-3731 FAX (970)586-0249 ss w.csiesnel.toiss Permit Expires 7 Job Address:CLA/—‘i Owner NameJt’//Phone:iA —2 Addiess I _ (Street)(City)(State)(Zip Code) Contractor/Applicant:I (i t-’r9 a-v-Town License #:?9’Phone:9 ¾’c “t Address:P(6 C f 4 i //<J (Street)‘(City)(State)(Zip Code) 1ong-term Residential (30 days)D Short-term Residential (<30 days)D Commercial D Replace Furnace D Gas Line (ft.) D Replace Boiler D Replace Windows D Replace Hot Water Heater D Install Air Conditioning EJ Minor Plumbing D Temporary Structure Use_______________ D Minor Remodel Time Period _________________________ D Fireplace Insert —circle one:Gas,Wood,Pellet;C Other Description of Work: )Liv : Valuation (Total Cost of Material &Labor):$ I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply withlocalordinances,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 permit.Additionally,IUNDERSTANDTHAFIAMRESPONSIBLEFORANYFEESOREXPENSESINCURREDFORPLANREVIEW,PERMITS,INSPECTIONS AND OTHERFEESASSOCIATELWITHTHISAPPLICATION.Note:The work authorized by this permit requires the building be provided with smoke alarms complyingwithmunicipalcodes. Signature Dat -1/Print Name e ____ ***Office Use Only *** Inspection Checklist: C Address Posted C Equipment Access C T &P 0 Smoke DetectorsCContractorsLicensedCEquipmentListedCGasPipeCRoughInspectionCPermitPacketAvailableCEquipmentClearancesCVentEJFinalInspection O Safe Access C Pan and Drain C Combustion Air Comments: Permit Fee:i , ___________________________ (j ,).L County Tax: Total: **SMOKE ALARMS ARE REQUIRED** Census#)ccupancy: Date— \\Ser’.eiomm devBuildingorms\Appl i.at ions\O’ci the Counter Page 1 of I Revised 6/L3t2006 -CB