HomeMy WebLinkAboutpitkin.eh.264335201002 (1988) (Fireplace Registration)00C-4-
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.
Complete & return this
postage -paid form no
later than Oct. 1, 1988.
(Fold in half, staple &
mail)
Name of Applicant ll s1rYU2�
Name of Owner 2i1jdkMD ,T7_ Pje�EAv ,L JZIZ/
Owner's mailing address _rM7 S (%,v, v�fl2J�1 64,c4o. ,�wiNolt d"XIC
Street address of structure �t+n�Sori2,tAdL'?B2L✓a�
Legal description of property R`T L Y7 riwojol) �v uy#
Type of structure: single family N
commercial other (what?)
NUMBER AND TYPE OF FIREPLACES OR STOVES
duplex 1:1 condo!
TYPE NUMBER
FIREPLACE Does it have gas logs? n-4
FIREPLACE INSERT
WOODSTOVE
OY vk�,�pc��uYc�f,in
,8A
COAL STOVE OR COAL FIREPLACE
GAS FIREPLACE APPLIANCE
OTHER
Manufacturer, Model #, and Name
DOES THE INSERT HAVE A CATALYST
ides F-] No ❑ Unknown
Manufacturer, Model #, Naive
DOES THE STOVE HAVE A CATALYST
des ❑ No r I' Unknown
- // h__I� z/4
Signature of Applicant Date 2-2
IMPORTANT: Please note: Ordinance 0 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
TYPE:
/-'ON 11.wAd
00 `a9dey
aIVd
a5eivo sp
91RU Via
;1909 SIONIIII '09VOIH0
AIIS?13AINn 'S L1£S
N3Hd319 *d 'A8d39
OL1£O1938
41,
POSTAGE PRE -PAID BY: l
Aspen/Pitkin Environmental Health Dept.
130 S. Galena
Aspen, CO 81611
11919 oavu0100 'N3dSV
VN31VO Hinos 0£1
1N3WidVd3a H11V3H
1VJ_N3VYN011IAN3 NJN11d/N3dSV
y P M °o
v m
24 S �$A:�P
�5vv 3
ASPEN/PITKIN ENVIRONMENTAL
HEALTH DEPARTMENT
130 SOUTH GALENA
ASPEN. COLORADO 81611
.y
{
y P M °o
v m
24 S �$A:�P
�5vv 3
ASPEN/PITKIN ENVIRONMENTAL
HEALTH DEPARTMENT
130 SOUTH GALENA
ASPEN. COLORADO 81611