HomeMy WebLinkAboutpitkin.eh.264326403003 (1988) (fireplace registration),-4. "1
ASPEN/PITKIN COUNTY REGISTRATION FORM
FOR FIREPLACES AND STOVES
Required Pursuant to Pitkin County Resolution No. 88-58 and City
of Aspen Ordinance No. 20 Series of 1988
Be sure to fill out Complete & return this
& return even if you postage -paid form no
have no stove or later than Oct. 1, 1988.
fireplace. (Fold in half, staple &
mail)
Name of Applicant �f�►�-�-� �4�"� IQ -
Name of Owner
Owner's mailing address
c
Street address of structure C'2 U C
Legal description of property " `� S� •�
Type of structure: single family r,
commercial other( (what?)
NUMBER AND TYPE OF FIREPLACES OR STOVES
duplex ❑ condoo
TYPE NUMBER //
FIREPLACE N
Does it have gas logs? C}
FIREPLACE INSERT�'��'`
Manufacturer, Model #, and Name
DOES THE INSERT HAVE A CATALYST
Yes NoEj Unknown(_f
WOO DS TOV E��������
Manufacturer, Model #, Name
DOES THE STOVE HAVE A CATALYST
Yes jr-] No Unknowno
COAL STOVE OR COAL FIREPLACE
a
GAS FIREPLACE APPLIANCE
OTHER TYPE:
Signature of Applicant �y lam- ° '=" l�i Date
IMPORTANT: Please note: Ordinance 20 requires that the application
must be returned to the Aspen/Pitkin Environmental Health Department
no later than October 1, 1988.
PLEASE LEAVE ORIGINAL MAILING LABEL AFFIXED
40 0
21919
920VO/03H
L -ON UJAd
o0 'uedsy
aIVd
a*90d 'S'n
aj%
OnV80103 'N3dSV
62LL X09 93I33O 1SOd
NA10HV3 GNIV 33N98MVI '3308VZ
POSTAGE PRE -PAID BY:
Aspen/Pitkin Environmental Health Dept.
130 S. Galena
Aspen, CO 81611
ASPEN/PITKIN ENVIRONMENTAL
HEALTH DEPARTMENT
130 SOUTH GALENA
ASPEN. COLORADO 81611
L 1918 O0VH0100 'N3dSV
VN31VD HI(IOS 061
1N3NI18Vd30 H11V3H
1H1N311INONIAN3 NIY I.ld/N3dSV
n