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Final Inspection Sign-off 4/27/2015
Garfield County Sul!din . S Planning De Phone: 70 ' 5-8212 Fax (970)384-3470 Protect Address 427 CR 167 GLENWOOD SPRINGS, CO 81601 - Owner Inl'onnelon Parcel No. Perm Perrin NO. SEPT -4-15-3624 Pamtk Type; Septic Permit Work ClassHFcatbn: Repair Permit Status. Active Issue Date: 4122/2015 Expires: 04121/2016 239501400074 Address Subdivision Phone Section Township Range Call HELEN WORTHEN BERNS REVOCABLE '1161260TH ST PEADBODY KS 66866 - CO (316)215-1864 Contractor(s) Phone Primary Contractor D&D Septic Services, LLC (970)328.0174 Yes Proposed Construction 1 Details repair to existing OWTS system FEES DUE Fee Septic Fee - Alteration or Repair Total: Amount $75.00 $75.00 Valuation: Total Sq Feet: $0.00 0 FEES PAID Inv Total Paytype Amt Paid Amt Due Inv # SEPT -4-15-23523 $75.00 Check # 1088 S75 00 s0.00 Required Inspections: For inspections ca : 1(888)868-5306 Inspection IVR See Permit Record Building Department Copy fr/i f 4,/r/< , ,eMo✓&p /Via) /4/..s 7c1 ,(2 Wednesday, April 22, 2015 2