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L I t y
THE CITY OF ASPEN
City of Aspen and Pitkin County '
FIREPLACE & WOODSTOVE REGISTRATION
*Parcel Id number: 2A 1 5 r' -- ( I -- 1 l -- ‘ (
Street Address: m 1 UE
Owners Name: rt 1I LA:i
*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:If the number, type and location on this registration form do not match what is show on your plans or what is actually
installed,your permit or Certificate of Occupancy will:be denied.
Type of Building (circle one): Residential Other
Type of device Room Existing New Make & Model
Wood burning fireplace (select one)
?Site-built masonry
?Factory built insert: model
number:
Gas log fireplace (select one)
?Site-built masonry
?Factory built insert: model
number:
Certified woodstove
Gas fireplace appliance Cero5$* M 146
(attach spec sheet) G" )d e a 1
If any devices are being removed, please describe here, i.e. "old woodstove removed from living room"
40 4/ 1.14 il 3
Signature op`cant Date
G:\city\building_dept\Aspen 2004 Checklists\fireplace registration .doc
over Received
6/29/17