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HomeMy WebLinkAboutPERMIT 241 Courtney Ln Water Heater 2019-05-20Receit/edDate Town of Estes Park rermitNuniberM-Ic3i9 Receikedliy (,Application for Miscellaneous Permit Application Expires _______ epartrnent ot Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 General Information &Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.oru Permit Expires g Job Address:9 g ccrbtQej t OwnerName:Lgvn tL VOl Phone:Q3 ‘75 —?c) Address:5p /11jL>1 &14?(Vt •_2)‘79Y (Street)3 (City)(State)(Zip Code) Contractor/Applicant:L-Vi_Cv*c.et ed”Town License #:139 Phone:-Q1) Address:13 O ii [c Rfrt Co 3oWz’ (Sircet)(City)(State)(Zip Coae) U Long-term Residential (30 days)U Short-term Residential (<30 days)C Commercial o Replace Furnace Qfas Line (-?ft.) Q,Replace Boiler U Replace Windows 1Replace Hot Water Heater C Install Air Conditioning o Minor Plumbing 0 Temporary Structure Use________________ o Minor Remodel Time Period ________________________ o Fireplace Insert —circle one:Gas,Wood,Pellet;C Other Description of Work:QAJ9 Qt 4a?-J /e 5 Li_LL4-.V ttJt_f -Q&)r&ay4e% Valuation (Total Cost of Material &Labor):$ LI - I certil’tins application is tme and correct and agree to pcrfornlthe work described according to plans/specifications submitted,reviewed and approved,and comply with local ordinances,state and federal laws as well as building codes.I certilSt that I have the property owner’s authority and pemlission lo apply for this permit.Additionally,I UNDERSTAND THAT I AM HESPONSIRLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OThER FEES ASSOCIATE ITFI THIS APPLICATION.Note:The work authorized by this permit relluires the building be provided with smoke 3larms complying with municipal cod J / Signamre I Date ‘‘10 /%rinc Name €5 ***Office Use Only *** hspection Checklist: C Address Posted C Equipment Access U T &P U Smoke Detectors U Contractors Licensed U Equipment Listed U Gas Pipe U Rough Inspection U Permit Packet Available C Equipment Clearances U Vent U Final Inspection U Safe Access U Pan and Drain U Combustion Air Comments:Permit Fee:t f//75 Census #Construction Type:Occupancy: County Tax:19BuildingOffijL4DateTotal:12-9 V**5(j ALARMS ARE REOUIREIY.&n ! \\Servera\comm dev\Building\Forms\Applications\Over the Counter Page I of I Revised 3/29/2012 -CB 9 I 6 CD -* D 00 0 0 C 0 -‘ C?) S. ‘C 0)— -‘ C) 1’)0 C?)z1 j-‘-4%) C 0) 0 F U 0 -U,N) .7, CD —