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Garfiel d County Permit NO. SEPT-4-15-3597
Community Development Department
108 8th Street. Suite 401
Glenwood Springs CO 81601
Phone (970)945-8212
Fax. (970)384-3470 Issue Date: 4/21/2015
AGREEMENT
Permit Type: Septic Permit
Work Classification: New
Expires: 04/20/2016
In consideration of the issuance of the permit, the applicant hereby agrees to comply with all laws and regulations related to
the zoning, location; construction and erection of the proposed structured for which this permit is granted, and further
agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the
above described structure, the permit may then be revoked by notice from the County Building division and IMMEDIATELY
BECOME NULL ANO VOID.
Septic Permit
Owner's Name: James & McKeaver Bershenyi
Job Address: Sec29, TOSS , R92W
Rifle, CO 81650-
Parcel #:000000000000
Owner's Phone: (970)987-0511
Total Square Feet: 0
Contractor(s) Phone Primary Contractor W ork Description:
OWNER Yes
Inspection Scheduling Code
lnsoection IVR Comments Pass Date
ROAD & BRDIGE DRIVEWAY
PERMIT SIGN OFF
Final 125 ,.S-:::fi-/v--~/~ '"'"7""'".-.~
Pere Test 615 1--z4 -/..< ~~i
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ADDITIONAL INSPECTIONS MAY BE REQUIRED
POST THIS IN CONSPICUOUS PLACE WHEN CONSTRUCTION IS STARTED
For Inspections Call· 1-970-945-1377 ext 1621
For Driveway Inspections call : 1-970-625-8601
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