HomeMy WebLinkAboutPERMIT 255 Cherokee Ct Water Heater 2019-07-30RECEWED
eeeived Date
ation for Miscellaneous Permit Application Expires ij
Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
nspection Line (970)577-3731 *FAX (970)586-0249 *www.estes.oru Permit Expires CI
(Street)(City)(State)(Zip C’ode)
4c•Str catc,
ContractorfApplicant:ti&rt.A’\eCMf%kJ tcA1_Town License if:Phone:’flC’Z2k’Z*c
(Stated (Zip Code)
C J.ong-term Residential (30 days)C Short-term Residential (<30 days)C Commercial
0 Replace Furnace C Gas Line (ft.)
C Replace Boiler C Replace Windows
,eplace hot Water Ueatcr 0 Install Air Conditioning
o Minor Plumbing C Temporary Structure Use_________________
0 Minor Remodel Time Period
____________________________
o Fireplace Insert —circle one:Gas,Wood,Pellet;0 Other
Descnption of Work
R ,IV)47vo’t’ftI/95 447’-tWt72/çz-.s
Valuation (Total Cost of Material &Labor):$
I certify this application is true and correct and agree to perform the work described according to plansspecifications submitted,reviewed and approved,and comply with
local ordinances,stale and federal laws as well as building codes.I certify that]hate the property Owners authority and permission to apply forihis permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WITH THIS APPLICATION.Note:The work aut orized by tins permit requires time building be provided with smoke alarms complying
with municipal codes.,-.
-,/
Signature Da’7t/i’L Name Vmcs..Eitn.
**4 Office Use Only ***
Inspection Checklist:
C Address Posted C Equipment Access C T &P 0 Smoke Detectors
C Contractors Licensed C Equipment Listed C Gas Pipe C Rough Inspection
C Permit Packet Available C Equipment Clearances C Vent C Final Inspection
C Safe Access C Pan and Drain C Combustion Air
Comments:
}Permit Fee:H/N 6
(J:8uilding Qivision\Fomis-Logst4pps_PennjPC_MlsIlsee1Ianeaus\Miscellaneous 2012.03.29.doc
Town of Estes Park
nt of Buildh
on (970)577-3726 *
Owner Name:
it.)iC)
Permit Number M-I I —I I
Address:2fF CNCf%rfte
___________Phone:___________
Cl-Co
(Street)
Address:(‘+?3 V’3woInz,t3 Q*kO Ec.wVcwc (0
(City)
Census P Construction Type:Occupancy:
—
County Tax:
EL
JUL Lo 2ü19
BY:..I’
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