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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
(,303)$45.8241 / (303) 625.3321
JobAddteSs +4437
Nature of Work 60114ing Permit
Use'vf 'Building Rr�.d�gtisl
Ovv qer Wtnda ftnnlllrt ;Al JOAnn Ki l burn
Contractor
AmvWnt of Permit: $ Date:
Ellen L. Nicks. Clark
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PLEASE FILL IN
ER ON BUILDING PERMIT: Name"
Mailing Address
Phone Number
CONTRACTOR ON BUILDING PERMIT: Name
Phone Number
WJILDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
945-8241 / 625-3321
Owner
Contractor or Builder:
Location:
Purpose for which buil
Size of Lot:
51.
is to be used:
iAll
Garfield County,
V-
Distance of building from property line at
Front: d _ p
.� Rear: c� Left Side:
_;Ko 100
Distance from nearest building: Number of stories:.
Source of water supply: (' Number of rooms: _
Type of sewage disposal: Ir Type of foundation
Width of b •ld'
ui ing. Materi 1 • 'd
Length of building: /'0,0
Height of walls:
r
Floor space in square feet: U
Estimated value: $ P�r
J�
Date construction will begin: / .Z
Permit charge: $
Plan check fee: $
TOTAL: $
a m outsi a walls:
Exterior finish: eel
Type of roof:
rJ
Right Side: SCD
Date of completion: / �a,
And I/We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully,
The County Commissioners hereby grant the above permit as per terms therein stated.
'19— .
This day of