HomeMy WebLinkAboutPERMIT 250 Cyteworth Pipe 2013-05-109785863198 MOUNTAIN VALLEY PLUM PAGE 81/0105/10/2013 12:58
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Received Dote pex-qs-io Town of Estes Park Permit Number M-1-’4 /Received By j Application for Miscellaneous Permit Appiitioii ExpIre .3’Department of Building Safety 170 MacGregor Avenue P.O.Box (200 Estee ParIs CO 80517 -.
Gencrsl Information &Inspection Line (970)577-3731 *FAX (970)580-0249 *vw.rstsnex!i Permit Expires •.__-JoAddrec0tZ --Owner Name:Patricia Kobler (contact Vicky Graft)
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Phone:303-601-8148 —.Address:684 9.Ivy Way Denver CO 80224(Street)JCity Thite)(Zip C&iFContractor/Applicant:Mountain Vafley Plumbing &Heating
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License 1:Phone:5661085
Address:854 Dunraveri St Estes Park CO 80517(Street)Cfiy tate3 çp Code—.WLong-tcrmlLsldenJi 30 j d Short-term Residential (<30 days)DcomnmerdM
0 Replace Furnace as Line (30 ft.)0 Replace Boiler 0 Replace Window’s0ReplaceHotWaterHeaterCinstallAirConditioning0MinorPlumbingCTemporaryStructureUse —C Minor Remodel
Time Period -.—.C Fireplace Insert—circle one:Gas,Wood,Pellet;C Other—.-Desception ot Work:Run gas line for log set in fireplace and install log set---s.4:sa-st-’
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‘-4 3 /5 ‘oF/s O/fl2 4 w_,2trr —Valuation (Total Cost of Material &Labor):S 128250 --I__
I carcity this nppttetuicin Is true and correct and agree to purtorm the work described aseordtn tç,pltmsfspecifletitiotia subn,tued.reviewed and approved.Slid ompty with
local ordinances,sUite anti federal lnwsas well us building codes,I ceitify that l have tIle property owner’s ruthority 20(1 permissIon to apply for this permit.Addiiionutly,1
UNI)ERS1’AND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURREI)FOR PLAN REVIEW,PERVJ1TS,INSP1fCTtONS AND OThER
FEES ASSOCiATED WITH THIS APPI..1CA’[ION.Note:The work nuthnrizcd by this permit requires rite building he provided with smoke alarms complying
with municipal codes.
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Spntttne __Sr /t Date Pnnt Nun,
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Office Use OnlyinspectionCheekHst:—l.:_J.LeI_rv1..-r0AddressPostedCEquipmentAccess0T&P -D&iol bect&s0ContractorsLicensedCEquipmentListed0GasPipe0RoughInspection
0 Permit Packet.Available 0 Equipment Clearances 0 Vent OFinal InspectionCSaleAccessCPanendDrainCConibustinAirComments:
Permit Fee:4Z 90Census4ConstructionType:C)ecupency:
CountyTax:Buiidhig Official—Dote
2CS’c5-72 —Total:-
P,’e’Lc477’f ,‘IW,’ck-iAc “er44f r j4;I fl3 —oZSMOKEALARMSAREEIJIREIP!
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