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TEMPORARY PERMIT
Garfield County Building Department
2014 BLAKE AVENUE
GLENWOOD SPRINGS, COLORADO 81601
(303) 945-8241 / 625-3321
Location:
9)11-9— ED1t-'1 _ U0 -'--i--.
Building Project:
Owner:
Contractor:
Date Permit Begins:
19
Date Permit Expires:
19
Amount of Permit:
$
Date:
19
NOTE: All checks must be made payable
to GARFIELD COUNTY TREASURER.
CLERK
TEMPORARY PERMIT APPLICATION
Garfield County Building Department
2014 SLAKE AVENUE
GLENWOOD SPRINGS, COLORADO 81601
(303) 945-8241 / 6253321
Garfield County,
,
19
Type of Building:
Building Project: r i r. e„ti1- } cir. ( ell w,
Owner: ci 12) v c
G GLct. ,)
Contractor: s.,, I.
Location: c 1 33
N t...:cs-
Make: %'' _or- l ki
Length: r)
Width: 14 ' ..,,,..+4-, 1 L4 t
7 0 e
yr...„,),,„
Sources of Water: .fir
Type of Sewage Disposal: s rP
i, ci reiA
Date Permit Will Begin:
.fif /
19E67
Date Permit Expires:
q f i
196
Owner or Agent Signature: x
.7”
Approved as per terms therein stated, this/eel
day of
BUILDING OFFICIAL