HomeMy WebLinkAboutpitkin.eh.264335101007 (1988) (Fireplace Registation)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
Name of Owner
owner's mailing address �• ,BAu YA9A1Z .S
Street address of structure DD4� .Td#NSoA1 4*AI1146 . 7 " %aV
Legal description of property AO -3O s1rAAWV0*
Type of structure:
commercial ❑
single family
other❑ (what?)
NUMBER AND TYPE OF FIREPLACES OR STOVES
duplex ❑ condoo
TYPE NUMBER
FIREPLACE A Does it have gas logs?
FIREPLACE INSERT
WOODSTOVE
COAL STOVE OR COAL FIREPLACE
GAS FIREPLACE APPLIANCE
OTHER
Manufacturer, Model #, and Name
DOES THE INSERT HAVE A CATALYST
Yes ❑ No ❑ Unknown ❑
Manufacturer, Model #, Name
DOES THE STOVE HAVE A CATALYST
Yes ❑ No U Unknown ❑
TYPE:
Signature of Applicanta , tkto4too�
Date y
IMPORTANTI: 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 0,1�10UINAL MAILING LABEL AFFIXED
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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
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