HomeMy WebLinkAboutpitkin.eh.264335105008 (1988) (Fireplace Registration)xCA3 35 o ooh
ASPEN/PITKIN COUNTY REGISTRATIO1. 'RM
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
& return even if you
have no stove or
fireplace.
Name of Applicant ,,.j-,ev"'--�- t1� e+'G-
Name of Owner Qlop*--A�
Complete & return this
postage -paid form no
later than Oct. 1, 1988.
(Fold in half, staple &
mail)
Owner's mailing address �•
Street address of structure_ /Y' -l_
Legal description of property Ly/ -4-3
Type of structure: single familyll� duplex ❑ condoo
commercial. r other (what?)
NUMBER ANI) TYPE OF FIREPLACES OR STOVES
TYPE NUMBER
FIREPLACE - 40
FIREPLACE INSERT
COAL STOVE OR COAL FIREPLACE
GAS FIREPLACE APPLIANCE
OTHER
Does it have gas logs? ,Wei
Manufacturer, Model #, and Name
DOES THE INSERT HAVE A CATALYST
Yes F_j No ❑ Unknown['_._f
Manufacturer, Model #, Name
DOES THE STOVE HAVE A CATALYSE
Yes u No U Unknown
TYPE:
Signature of Applicant,�7���- +-�-�- 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
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POSTAGE PRE -PAID BY:ts Q°'I—
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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