HomeMy WebLinkAboutpitkin.eh.273510100003 (1988) Fireplace Registration`a35�(al-oo--003
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 Complete & return this
& return even if you postage -paid form no
have no stove or later than Oct. 1, 1988.
fireplace. (Fold in half, staple &
mail)
Name of Applicant krz is mej 4c -4i )z
Name of Owner � �� = +Z�t it �i� /�r?fStT� N iZy
owner's mailing address &Y- -30 T7 A, 5 P_AAj , &o E-tb 12 -
Street address of structure ,)-i (c (t, 14 F�_o Y K 2- &S f i4-)
TY2r r yr r. 8 sf N,44'c-b "U S6eno.4j L , 3, 1 v f,/ ar- /a -Sri
Legal description of property +Gat ` „A F 7 �eScrz1aFa Fsy n.S s tsVON as
EjType of structure: single family duplex condo
commercial -1], other[ (what?)
NUMBER AND TYPE OF FIREPLACES OR STOVES
TYPE NUMBER
FIREPLACE
FIREPLACE INSERT
WOODSTOVE
i
COAL STOVE OR COAL FIREPLACE
GAS FIREPLACE APPLIANCE 0
OTHER
Does it have gas logs.
rim
Manufacturer, Model #, and Name
DOES THE INSERT HAVE A CATALYST
Yes L:] No [:�] Unknown U
Manufacturer, Model #, Name
w DOES THE STOVE HAVE A CATALYST
Yes f -1u No U Unknown 0
TYPE:
4
Signature of Applicant ��'�" y"L 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:
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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