HomeMy WebLinkAboutpitkin.eh.264335105001 (1996) (Fireplace Registration)Aspen/Pitkin Environmental Health Department
�} Firep lace/Woodstove Permit
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Parcel ID # of Property (available from Assessor, 920-5160)
Name of Owner of Property 1 Y V(41;0
Owner's Mailing Address C% LIAU- @)65 &4,iL � U6C MNtt 5 4R�J CO
Street Address of Property �'' � � .:�N-Arz-wwm ► 6\E
Legal Description of Property iL �4 2—W- O -W
Owner's Phone Number %
Structure Type: Single Family's Duplex ❑ Condo/Townhouse ❑
. Apartment ❑ Commercial ❑ Other ❑
♦ If this is new construction (not a remodel or addition) :
Type of device # you plan
to install room
♦ If this is a remodel or addition to an existing structure:
For the fireplaces/woodstoves you already have:
[other device
♦ What devices will you be addinV.
1 1 1
Signature of Applicant Date bci 2 Receipt #
Envir Health Dept Approva Date Date Paid
Printed on Recvcied Paner