HomeMy WebLinkAboutFile Documents.45 Callahan Ct.0014.2017 (8).ACBKTHE CITY OF ASPEN Cityof Aspen and Pitkin County
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FIREPLACE & WOODSTOVE REGISTRATION
*Parcel Id number: Z- -1 3 1�' -- I 2 I _ Z 0 0
Street Address: "5 NlEwbdN Rd b
Owners Name: -11-IE /KPka- INSTItVJr,
*Required --Contact Assessors offices at 920-5160
Registration will not be accepted without a Parcel Id number
List all devices in your home (2 are allowed per building, except for gas appliances)
Note.: lithe number, type and location on this registration form do nor match what is show on your plans or what is actually
installed. your permit or Certificate of0ccupancv will be denied.
Type of Building (circle one): Residential Other
Tvne of device Room Existing New Make & Model
Wood burning fireplace
one)
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?Sire -select
built masonry
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?Factory built rose :model
number:
Gas log fireplace
(select one
rte-buds mason
6X15AIAID D11Wa 105'
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?Factory built insert: model
number:
Certified woodstove
Gas fireplace appliance
(attach spec sheet)
If any devices are being removed, please describe here, i.e. `old woodstove removed from living room"
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z�1/2017
Signatu' rca Date
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