HomeMy WebLinkAboutpitkin.eh.264335105002 (1996) (Fireplace Registration)Aspen/Pitkin Environmental Health Department
Fireplace/Woodstove Permit 3 S
Parcel ID # of Property (available from Assessor, 920-5160)
Name of Owner of Property eA�LL--T' F1 e' LCD
Owner's Mailing Address yd �3'�nR.ss sf�- .
Street Address of Property Sv, a�2H�-�o� i7FZ
Legal Description of Property Ldp'
Owner's Phone Number clo 151 LL f:Z-�4S%925- 4IS5
Structure Type: Single Family EK 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 chis is a remodel or addition to an existing structure:
For the fireplaces/woodstoves you already have:
what devices will you be adding?
T,,mP n r pvir•P # added room
ii�as:; log fireplace
aas fire lace apo fiance
znaketnW.�del (attach a shet ..
certified woodstove
makeftnodel
woodburning fireplace
»:
Signature of Applicant Date Ji - Recei t # -
Envir Health Dept Appr al %- Date c -� Date Paid �'f cl
Printed on Recycled Paper