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pitkin.eh.264335105011 (1988) (Fireplace Registration)
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 & return even if you have no stove or fireplace. Name of Applicant GOrJC, A C� Name of Owner Complete & return this postage -paid form no later than Oct. 11 1988. (Fold in half, staple & mail) Owne` 's-�ailing address li 13yX 40 Pr r, CE Gn 0, Stre-.t^1dress of structure (D oLo S eu,-�V, va i.�) 00cl t r Legal description of property la0.e � R -5 ;�fajty0ao+ g SL J, v;S�on Type of structure: single family commercial_ ! others i (what?) NUMBER AND TYPE OF FIREPLACES OR STOVES F_I duplex!- 1 condo: ---I TYPE NUMBER FIREPLACE (AOL 611, Does it have gas logs? ny FIREPLACE INSERT& woODSTOVE n n0 COAL STOVE OR SAL FIREPLACE n CJ GAS FIREPLACE APPLIANCE OTHER Manufacturer, Model #, and Name DOES THE INSERT HAVE A CATALYST Yes L-1 No;- UnknownL-� Manufacturer, Model #, Name DOES THE STOVE HAVE A CATALYST Yes �A No!--' Unknown �_ `nOA"e_' TYPE: Signature of Applicant �Y "' 1, ! Date 16 117LY? IMPORTANT: Please note: Ordinance 20 requires must be returned to the Aspen/Pitkin Environmental no later than October 1, 1988. PLEASE LEAVE ORIGINAL MAILING LABEL AFFIXED that the application Health Department 3t7SpO 0SN3Jr M3N 11J0130NIHd bhV X09 30I330 1SOd NOOdO9 'owno 22tiO/S3H GIVd a681"d 'S'n aasd � tj 11919 OG1JH0100 'N38Sb VN31H9 HinOS 0£1 1N3W1dVd3© H11V3H IV1NW4NOYAN3 IVIXJJd/N3dS ' POSTAGE PRE -PAID BY: Aspen/Pitkin Environmental Health Dept. 130 S. Galena Aspen, CO 81611 PM�'� �4 OCT /o go$ ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 130 SOUTH GALENA ASPEN, COLORADO 81611 06A T4 _AID LIP& ME— COLLECT �4--STAMPS