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HomeMy WebLinkAboutApplicationGARFIELD COTINTY BUILDING PERMIT APPLICATION 108 8ù Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-94 5 -8212 I F ax 97 0 -384'3 47 0 / Inspection Line: 888-868-5306 wwu.caú91d:s9g!ry-ea!q 1 is available at the assessors office 970 -945-9134)Pa¡cel No -tq 2 Job Address:pleasehas not been a¡dorNameStreet&city) {+e P€ÊrsBlock No:Lot No3 AItPh;Ph: cÊe&ÀiDÉ-tcto34 Ait Ph:4ro-srq -Ásr0 t9n t{5 Ph:AItPh:Mailing Address:6 Architect / Engineer: No. of Floo¡s:Height:Sq. Ft. or Acres oflot:Sq. Ft. of Building:7 Use ofBuilding:I 9 lùsrÊU- t¡lu00/Describe Work: t0 Class of Work:¡ Addition¡ New ¡ ISDS Septic: tl11a Detachedn Attached Garage: Owners valuation of Work:(no.oo$Driveway Permit:t2 letter åiauthority, signecl by the Omer, mut be provided wit! tbis Application , L"s"lA"c"o ÀBuilaingremí.*átu"ir*"¿*ituoutpåofoflegalmcladeiuate accesstoth:_plg"ryforpurposesofimpecfiombytheBuildingDepartment Couìy Higb*"y/toad Acæss or a State Wastewater Dischage Pmit r-.^ ^.i^^..--^^ ^-¡ ;r-,,^-L i" .,,.---Á-¡ ^. "L"-ãa¡a,Voidpermit ABuil.tingpemitueæmesnullædvoidiftheworkauthoriredLoot"o--encsdwithinlS0daysofthedateofisswcemdifworkissupendedorabmdonedforaperiodofl80 davs after comeoceoent. CERTIFICATION ma ,p""it"atøm mcl otler daø subnìited by me or on my bebalf(subnittald, based upon my certification æ to accmcy NOTICE Büa\ TESTGNA ho 4ftIå?STAFF USE ONLY .Ð.(a Special Conditions: Manu home Fee:Misc Fees \ Permit Fee: 6?. zlPlan Check Fee:?íotA.djusted Valuation: ZoÒ e,- &Date:ISDS No & Issued Date:Balance Due:Fees Paid // /, z¿ Total Fees:// /. zé ISDS Fee: 'Zoning:Const Type:eúOCC Group:<-3Setbacks: PLNGDEPT:BLDGDEPT: DATE