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`�ILDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING DEPARTMENT
1 /� Garfield County, Colorado, 4 / , 19f
Owner: ! (r 0 o I'Yl
. ADDRRSS: P HONE: j yS p Ow ��
Contractor or Builder: �v�""'� ADDRRSS: PHONE
Location: _ ' o ildi /�i� �z 2 /SN w <9 o (I
Purpose for which bung is to be : f f i eJ61 ex / o w.rE
,t�E Pi e � DA y
Size of Lot: b ; be
1.1 � S 0 /
Distance of building fr m property line at Vii- / Front: _. Rear: Left Side: j l� Right Side: -
Distance from nearest building:
Source of water supply:
,p �� Number of stories:
e-,1 ft�E (�sf•� tai r s4, Number of rooms:
/
Type of sewage disposal: 1� 5�� C. 6 Type of foundation: awl �" f f�
Width of building:
Length 7 d CJ Material in outside walls: ' A.72}.7) 01. CZ ra r
n gth of building: iF
y� Ext e rior finish: S� F f l�ae% �
Height of walls: Id Type of roof: 1F7 '/ .75
Floor space i n square feet: 5 G 4Q
Estimated value: $ )0 a d
Date construction will begin: Date of completion:
Permit charge: $ e6 .
Plan check fee: $'
TOTAL: $ /.5.2.4 t '
And I /We hereby agree to build strictly to the terms of the above . - ..tion, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused b construc ' • n of said building.
Respectfu . ____
0
The County Commissioners hereby grant the above permit as per terms therein stated. This /� day of
-itiL4---- , 19
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j „, , jr, 13 1r G OFFICIAL