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PERMIT CARD
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Community Development Department
108 8th Street, Suite 401
Glenwood Sþrings, CO 81601
Phone $7q 945-8212
Gaffield County
Project Ad dress 1793 CR245 l. Parce¡ ¡e. 212525200132
Owner Name 4J,LLC Attn: Brett & Jeanne Jolley Owner phone 970-984-3562
öontractor(s)OWNER Contractor Phone
Work Descriptlon new QWTS installation for single family construction
AGREEMENT
In consideration of the issuance of the permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning,
location, construction and erection of the proposed structure for which this permit is granted. The applicant fuilher agrees that if the above
said regtrlations are not fully complied with in the zoning, location, erec'tion and construction of the above described structure, the permit
may then be revoked by notice from the Gounty Building division and immediately become null and void.
Perc Test
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PLEASE SEE BACK OF PERMIT FOR OTHER COMMENTS
ADDITIONAT INSPECTIONS MAY BE REQUIRED
For lnspections Call (970) 945-L377 xl62l
For Driveway Inspections Call (970) 625-8601
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