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HomeMy WebLinkAboutApplication- PermitPhone No. 945-8241 GARFIELD COUNTY Address BUILDING DEPARTMENT Job Address oab7 Willow Lane, Ca4ond le . CO Nature of Work k' 40.1.v Room Use of Building Family Room 2014 Blake Ave Type Occupancy Owner lr 1 V. Burn Contractor Self Amount of Permit 7.00 Date Nove mbe r 1. 197F; Clerk 1040 N? 2268 Owner 0 IU Building Permit Application Garfield County, Colo. , 19 Contractor or Builder 19C.u/1 e/' / / Location: ()//v_ (, i/g act /'q" 7_ (7/9,-Z, !, Purpose for which building is to be used:, 7 /' A 4,,,- Size of Lot: ,2.,,77 /;Z / eC f/ Distance of building from property line at: Vii:: Front Rear Left side Right side Distance from nearest. building: Number of stories r.. Source of water supply: Ah, fL Number of rooms: / Type of sewage disposal:/L� n� Type of foundation. 4,2 (7/• P F' Width of Building. /ff Material in outside walls: r`",-" e- Length of Building: fn / Exterior Finish: GUeee,e/ ?FlooHeight of walls: Type of roof: /75 -fig /,,1-- Floor r space in sq. ft.: Estimated Cost: $11W . Caen Date construction will start: Date of completion. Permit Charge: $ per 1st $1,000 Valuation. $per each additional $1,000 Valuation. m p TOTAL $ 7 And I/We hereby agree to build strictly to the terms of he above description, and also to clear the grounds adjacent street or streets of all rubbish and debris eau by the construction of said building. 0 • Respectfully, The County Commissioners hereby grant the above permit as per terms therein stated. This day o f _ b °' e -ns , 192Y . Clerk Building Inspector