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HomeMy WebLinkAboutpitkin.eh.273503100004 (1988) Fireplace Registration3 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 Name of Owner �l/D 4 Owner's mailing address Street address of structure Legal description of property 0 WL CA rntl W �--� Type of st_r_ucture: single_ family! _i duplex �x condos] commercial; _1 other�_J (what?) NUMBER AND TYPE OF FIREPLACES OR STOVES TYPE/ 4-e - WOC-0 NUMBER FIREPLACE 2, Does it have gas logs? PO FIREPLACE INSERT WOODSTOVE COAL STOVE OR COAL FIREPLACE fto _ GAS FIREPLACE APPLIANCE 010 OTHERO Manufacturer, Model #, and Name DOES THE INS HAVE A CATALYST Yes L-1 No Unknown El Manufacturer, Model #, Name DOES THE STOVE HAVE A CATALYST Yes (] No [] Unknown El TYPE: 944/Li -/1`/ Signature of Applicant Date C 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 2IQTR 0ad>,j103 'N3dSb 12s£ x TJX 30I.330 1SOd H139Vs1 I3 0" 10 '831­IdNanis L9bb0/938 cc 4uodty (IIYd a*20d •S'O al% V13._ R 11918 OGVUO100 'N idSV dN31dc,)' H.inos 6E 1 1N3W1dVd3© H11V3H 1d1N31NNOYAN3 NJNJ_1!d/N3dS3V POSTAGE PRE -PAID BY: `1 ^� ��..._„ �i Aspen/Pitkin Environmental Health Dept. VEawI 130 S. Galena 1988 Aspen, CO 81611 ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 130 SOUTH GALENA ASPEN, COLORADO 81611