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BEST COPY
Job Address
No. 8384
GARFIELD COUNTY
BUILDING, SANITATION,
and PLANNING DEPARTMENT
109 8th, Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
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Nature of Work
Usc of B
Owner
Contract cir ► o r
Amount of PermitS DOI Date
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Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
*" • GARFIELIYCOG\TY (GLEN WOOD SPRINGS), COLORADO
212
TGO PYPERviFT NO. -)E-1 /
INSPEC'I'IUNUNF. (970)384-5003
PARCEUSCHEDULE NO Tqp20p2
LOB ADDRESS:l• t 3 t 7k mQ_rlatL2 J
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LOT NO. "' BLOCK NO. SUBDIVISION/EXEMPTION
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NOTICE
A SEPARATE ELECTRICAL PERMIT 15 REQUIRED AND MUS: BE ISSUED BY THE STATE OF
COLORADO
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CONSTRUCTION
AI.THOREIED IS NOT COMMENCED WITI L`N 1 t0 DAYS. OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF Ito DAYS AT AN' TIME
AFTER WORK IS COMMENCED.' t (� E ,
•
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
ICNIOW THE SAME TO BE TRUE AND CORRECT. AU. PROVISIONS OF LAWS
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT.NTHB,GRANIDIG OF$A PEPhffT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATEIORCANtEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATAIO iCONSTRU TION 1OR', THE PERFORMANCE' OF
CON SxA
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PLAN CHECK FEE:
274.0,
TOTAL FEE:
1245,540
PERMIT FEE;
421,5$
DATE PERMIT ISSUED:
OCC: GROUP:
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CONST: TYPE:
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SET'BACKS:1 • • '
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ISDS NO. &
ISD, OD
AGREEMENT
PERMISSION 15 HEREBY GRANTED TO TIM APPLICANT AS OWNER. CONTRACTOR ANDIOR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS
DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED B Y THE BUILDING DEPARTMENT
LN CONSIDERATION OF TF/E ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED By
GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN L\ 30.21101 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY
COMPLIED WITH IN THE LOCATION, ERECTION. CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM
THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT' BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE
CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN
VIOLATION OF THIS CODE OR ANY OTHER ORDNANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF THE SUBMITTED PIANS AND SPECIFICATION'S AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY
RESPONSIBILITIES OR L IABI TTIES BY GARFIELD COUNTY FOR ERRORS. OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE maws AND CATION
DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCFIrTECT, DESIGNER BUILDER AND OWNER COMMENTS ARE INTENDED TO WON 1N' SUPPORT
OF TETE OWNERS INTEREST.
Gerfo,.ock3 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. @rrf1A1.1
i... „ The.following. items are required by Garfield County for a final inspection:
1
1. A final+Electrical Inspection from the Colorado State Electrical Inspector;
2. Permanent address assigned by Garfield County Building Department posted where readily
visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water, non-absorbent
• kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all
necessary plumbing;
4. A complete bathroom, with washbowl, tub or shower, toilet stool, hot and cold running water,
non-absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks over 30" high constructed to all 1994 UBC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances. i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are completed and a final inspection made.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE
- ITEMS HAVE BEEN COMPLETED.
****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY
(C.O.) IS ISSUED: OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE
CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING
PREMISES UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use the issuance of a
Certificate of Occupancy for the dwelling under building permit #
'Sign
afore
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Date
anGoL,,¢E.( !9/$ ,9 /7, 2-4
574, t-/ = _21_142.A
274,3o
274.01
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Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to
scale.
Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with
decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line. A
section showing in detail, from the bottom of the footing to the top of the roof, including re -bar,
anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house -
rap, (which is required), siding or any approved building material.
A window schedule. A door schedule.
A floor framing plan, a roof framing plan, roof must be designed to withstand a 40 pound per square
foot up to 7,000 feet in elevation, an 80 M.P.H. windshear, wind exposure B, windload of 15 pounds
per square foot, and a 36 inch frost depth.
All sheets to be identified by number and indexed. All of the above requirements must be met or your
plans will be returned.
All plans submitted must be incompliance with the 1997 UBC, UMC and 1997 UPC.
1. Is a site plan included that identifies the location of the proposed structure or addition and
distances to the property lines from each corner of the proposed structure(s) prepared by a
licensed surveyor and has the surveyors signature and professional stamp on the drawing?
Properties ith slopes of 40% or greater must be shown on the site plan.
Yes
2. Does the site plan also include any other buildings on the property, setback easements and
utility easements?
Yes
3. Does the site plan include when applicable the location of the I.S.D.S. (individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and
adjacent propertied), streams or water courses?
Yes r/
4. Does the site plan indicate the location and direction of the County or private road accessing
the property?
Yes
5. Do the plans include a foundation plan indicating the size, location and spacing of all
reinforcing steel in accordance with the uniform building code or per stamped engineered
2
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design?
Yes
6. Do the plans indicate the location and size of ventilation openings for under floor crawl
spaces and thplearances required between wood and earth?
Yes
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces's and soffits? ts?
Yes
8. Do the plans include design loads as required by Garfield County for roof snow loads, (a
minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor
loads and wind loads?
Yes
9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construction?
Yes
10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof rafters or joists or trusses?
Yes
11. Does the building section drawing or other detail include the method ofpositive connection of
all columns and beams?
Yes
12. Does the plan indicate the height of the building or proposed addition from the highest point
of the building or addition measured at mid span between the ridge and the eave down to
existing (undisturbed) grade contours?
Yes a/
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Colorado F se certifications or phase 1I EPA certification?
Yes No /1
14. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code hapter 37?
Yes No !U
3
15. Does the plan include a window schedule or other verification that egress/rescue windows
from sleeping rooms and/or basements comply with the requirements of the Uniform Building
Code? t(GOl
Yes No /" r
16. Does the plan include a window schedule or other verification that window provide natural
light and ventilation for all habitable rooms? /14,9, v / fi !y? 6,
Yes No
17. Do the plans indicate the location of glazing subject to human impact such as glass doors,
glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a
walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and
specify safety glazing for these areas?,Qv �j
Yes No rI f�U�✓
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated on the ?
Yes e/ No
19. Do you understand that if you are building on a parcel of land created by the exemption
process or the subdivjision process, are building plans in compliance with all plat notes and/or
covenants?
Yes v No
20. Do you understand that if you belong to a homeowners association, it is your responsibility to
obtain written permission from the association, if required by that association, prior to
submitting an application for a building permit? If you do not have written permission from
the association, do you understand that the plan check fee will not be refunded should the
architectural cgmee deny or reject your building plans?
Yes No
21. Will this be the only residential struct a on the parcel? �� �%✓� iiire/41
Yes No If no -Explain: S {
22. Have two (2) cgrniplete sets of construction drawings been submitted with the application?
Yes
23. Do you understand that the minimum size a home can be on a lot is a 20fl. x 20ft.?
Yes No
24. Have you designed or had this plan designed while considering building and other
construction code requirements?
4
Yes
No
25. Does the plan accurately indicate what you intend to construct and what will receive a final
inspection by the Garfield County Building Department?
Yes F/ No
26. Do you understand that approval for design and/or construction changes are required prior to
the application of these changes?
Yes No
27. Do you understand that the Building Department will collect a "Plan Review" fee from you at
the time of application submittal and that you will be required to pay the "Permit Fee" as well
as any "Road Impact" or "Septic System" fees required, at the time you pick up your building
permit?
Yes -�� No
28. Are you aware that twenty-four (24) hour notice is required for all inspections?
Inspections will be made from Battlement Mesa to West Glenwood in the mornings and
from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be
called in by 12:00 p.m. the day before; afternoon inspections must be called in by 4:00
p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will
delay your inspection one (1) day. Inspections are to be called in to 384-5003.
Yes z/ No
29. Are you aware that you are required to call for all inspections required under the Uniform
Building Code including approval on a final inspection prior to receiving a Certificate of
Occupancy and occupancy of the building?
Yes ✓ No
30. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent
of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for
the project complying with the Uniform Building Code?
Yes No
31. Are you aware that prior to issuance o fa building permit you are required to show proof of a
driveway access permit or obtain a statement from the Garfield County Road & Bridge
Department stating one is not necessary? You can contact the Road & Bridge Department at
625-8601. ••
Yes No
32. Do you understand that you will be required to hire a State of Colorado Licensed Electrician
5
and Plumber to perform installations and hookups, unless you as the homeowner are
performing the work? The license number of the person performing the work will be required
at time of applicab -inspection.
Yes No
33. Are you aware, that on the front of the Building Permit Application you will need to fill in the
Parcel/Schedule Number for the lot you are applying for this permit on prior to issuance of a
building permit? ur attention in this is appreciated.
Yes No
I hereby acknowledge that I have read, understand and answered these questions to the
best of my ability.
jtoiAi/LA
Signature Date
Phone: 6.), -G7,5 (days);r, t ip�/D (evenings)
Project Name: 47-111/1(
Project Address: 3-�/ 0 r� s Ale).�
J `�
Notes:
lfyou have answered "No" on any of the questions, you may be required to provide this information
at the request of the Building Official prior to beginning the plan review process. Delays in issuing
the permit are to be expected. Work may not proceed without the issuance of a permit. If it is
determined by the Building Official that additional information is necessary to review the application
and plans to determine minimum compliance with the adopted codes, the application may be placed
behind more recent applications for building permits in the review process and not reviewed until
required information has been provided and the application rotates again to first position for review,
delay in issuance of the permit or delay in proceeding with construction.
bpminreq
04/02
6
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Cou_terk/C-ikt
DEED OF TRUST
THIS DEED OF TRUST is made this 9th day of February, 1996, between Kenneth E. Durnil and
Marcia Durnil and John W. Terry (Borrower), whose address is 243 Charles Street, Carpentervilie Illinois
60110, and the Public Trustee of Garfield County, Colorado (Trustee), for the benefit of Grass Mesa, Ltd., a
Colorado corporation (Lender), whose address is Post Office Box,3080, Carefree, Arizona (85377,
•
Borrower and Lender covenant and agree as follows: )
1. Property In Trust. Borrower, in consideration of the indebtedness herein recited and the trust
herein created, hereby grants and conveys to Trustee In trust, with power of sale, the followin des
property located in the County of Garfield, State of Colorado: 9 cubed
SW'/.SE'/. of Section 4, Township 7 South, Range 93 West of the 6th Principal Meridian,
County of Garfield, State of Colorado,
together with all its appurtenances (hereinafter referred to as "the Property")
2. Note; Other Obligations Secured. This Deed of Trust is given to secure to Len
repayment of the indebtedness evidenced by Borrowers note (Note) dated February 9, 1996, in the principal
sum of Fifty -Two Thousand Seven Hundred Forty and No/100 Dollars ($52,740.00) with interest onder the
principal balance from February 9, 1996, until paid, at the rate of ten percent (10%) the unpaid
and interest payable at Post Office Box 3080, Carefree, Arizona (85377), or such other place as the Lender
per annum, with principal
may designate, in monthly payments of Four Hundred Sixty Two and 83/100 Dollars ($462.83) due on the 1st
day of each month, beginning March 1, 1996; such payments to continue until the entire indebtedness
evidenced by said Note is fully paid; however, if not sooner paid, the entire principal amount outstanding
accrued interest thereon, shall be due and payable on Jdnuary 31, 2006. Borrower has the right to Hess
at any time, without penalty, all or part of the outstanding principal balance, accrtjed interest and and
charges such as late payment fees. The payment of any and all other sums disbursed b prepay
accordance with this Deed of Trust to protect the security of this Deed of Trust shall accrue interest
other
at the rate of eighteen percent (18%)by Lender in '
per annum. nterest thereon
3. Title. Borrower covenants that Borrower owns and has the right to grant and conveythe
Property, and warrants title to the same, subject to general real estate taxes for the current year, ease
of record or in existence, and recorded declarations, restrictions, reservations and covenants, if any, as of
meats
date and except reservations and exceptions as set forth in the United States Patents of record; terms,
conditions Y this
provisions, obligations, easements, restrictions, assessments and all matters as set forth in
Protective Covenants for Grass Mesa Ranch recorded In Book 628 at page 503 and First Amendment thereto
recorded in Book 924 at page 292 and Amendment thereto recorded in Book 951 at page 883; easement and
right of way for electric transmission line purposes
ghof w and electric
iofs way for roadway lin as set forth in Easement recorded in Book 666 at page 210;
Road
Book 672 at page 761 and Amendment the eto recorded inoses as setfo Brth ook 677 at pagein1ve 56, and ass font recorded in
Easement recorded in Book 694 at page 740; reservation of all oil rth in Grant of
s as set
not limited to the following instruments: Quit Claim Deeds recorded in Book 634 at page 348 and no BooIn, but
k 814
at page 265; Oil and Gas Lease recorded in Book 882 at page 868, and any and all assignments thereof.
4. Payment of Principal and Interest. Borrower shall promptly
and interest on the indebtedness evidenced by the Note, and late charges as provided nthe Noterantlpal ll
perform all of Borrower's other covenants contained in the Note. shall
B&.eon t McCb , [LC P O. 8a. 669 Curi{om Colorado(61730) (970) 41.1003
•
(c) Should Lender not elect to Accelerate upon the occurrence of such Transfer then, subject
to (b) above, the mere fact of a lapse of time or the acceptance of payment subsequent to any of such events,
whether or not Lender had actual or constructive notice of such Transfer, shall not be deemed a waiver of
Lender's right to make such election.nor shall Lender be estopped therefrom by virtue thereof. The issuance
on behalf of the Lender of a routine statement showing the status of the loan, whether or not Lender had actual
or constructive notice of such Transfer, shall not be a waiver or estoppel of Lender's said rights.
24. Borrower's Copy. Borrower acknowledges receipt of a copy of the Note and of this Deed of
Trust.
EXECUTED BY BORROWER
A4 e
Kenneth E. Durnil
STATE Q'F' COLORADO
) ss.
COUNTY OF GARFIELD )
• The foregoing instrument was acknowledged before me this day of February, '1996, by
Kenneth E. Durnil and Marcia Durnil.
arcia Durnll
Witnessmy hand and official seal.
My Commission expires:
(SEAL)
Notary -Public
STATE OF COLORADO )
) ss.
COUNTY OF GARFIELD )
The foregoing instrument was acknowledged before me this day of February, 1996, by John
W. Terry.
(SEAL)
Witness my hand and official seal.
My Commission expires:
Notary Public
3
Garfield County
Garfield County Road and Bridge Department
December 27, 2001
John Terry
453 Grass Mesa Road 5049.2 Gross /i%s 9 /Ow/
/
Rifle, Co. 81650
741,
CC: Garfield County Building and Planning Department
Dear Mr. Terry,
The driveway that you have in place in is accordance with the Garfield County Road and
Bridge Department's specifications for driveways and you do not need a permit for this
driveway.
If you have any questions or problems, please feel free to contact me.
Sincerely,
William Gazlitz
Assistant Foreman
Garfield County Road and Bridge Department
902 Taughenbaugh Blvd. Suite 305
Rifle, CO 81650
Phone: 970-625-8601
Fax: 970-625.8627
GRASS MESA HOMEOWNERS ASSOCIATION
1899 Grass Mesa Road
Rifle, CO 81650
March 5, 2002
Garfield County Commissioners
109 86 Street
Gletttwood Springs, CO 81601
RE: Variance Request of Sohn Terry and Ken Durnil
Ladies and Gentlemen:
The Grass Mesa Homeowners Association has no objection to the variance being
requested by John Terry and Ken Durnil to build two homes on Lot 51, Grass Mesa Ranch
Subdivision.
GRASS MESA HOMEOWNERS ASSOCIATION
Bv:
Chi GTiartier, Property Manager/Secretary
44:71-C S , Director
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2227 Airport Road
Rifle, Colorado 81650
The -house or Ken Durnil will have a 40 lb. snow load
Rick Hirrieisen
rti e.
Ph: (970) 625-0732 eS
Fax: (970) 625-0619
1-888-412-8088
()Contact:
Glen Alessandrl
Dann Stark
-- 7 (970) 532-2632
800-818-2632 t A
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COP',IFLE PREMIER HOME SALES
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PIFLfi, COLORADO 81 050
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WELL PERMIT NUMBER [ 1.305
2 OWNER NAME(8) a() .J TER R
Maeing Address x �qw
City, �.2 RI FLF CO t(r15Q
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For Office Use A/e
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V ELL LQCATIQN AS DRILLED:. 6l c31/4 C1/4, Sec. q Twp. 1 S , R( ange q;3 C._
CES FROM SEC. UNES:
ft. from S Sec. tine, and ICDO ft, from E Sec. line, OR
SUBt�t eioN: 0 gi"41-;'
t--54; i� C_.k-t (+au orwas�
STREET ADDRESS AT WEU. LOCATION:
__LOT l BLOCK FiLING(UNIT)�
GROUND SURFACE ELEVATION 7 Z,-7 ft. DRILLING METHOD A \R Rcs 2
ri Q '1 D ti . TOTAL DEPTH Z s ft. DEPTH COMPLETED z
DATE COMPLETED
6. GEOLOGIC LOQ:
Depth Dae on et
Aterfal (Typo, Shit, Co
eivEMMIWEIFT -
EMMiTaro 4"22!"
Alb
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REMARKS: _ -
DISINFECTION: T
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emar
Check boo , Test Data Is su
S. HOLE DIAM. On.) From (ft)
2
7. PLAIN CASING
OD (In) Kind Wall Size From(ft) . To(n)
To (ft)
PERF. CASIN�'p Screen Skit
5
& FILTER PACK:
Material
Size
Interval
10. GROUTING RECORp:
Material Amount Density
Bar_ -15. --..
Amt. Used
P
sw
9. PACKER PLACEMENT.
Type
Depth
icy Plactsrnerrt
ed on Form No. GWS 39 SupplerharttalWag feet.
• ft i78if%I'iriW measured
ft Nall/nine measured ProductionRate 5 :4
9Pm. ..
�. !Hive i+id #ti tbit n+inle
- C.RS.; 04)444 & jp
CONTRACTOR
Test length (hrs.
11 - 1 / • - •1•
mad, herd and Imow th41
QED Print)
misfit. thenot, and that they lire true }4
pow In IN second degree and Is knowledge. Mundt/ant d n Section 2�-r t04 48
punishable as a clay f 11ylsd,.rrreanor• ( 1(�?
Phone (,
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Llc. No,jc,
r
Date
—Sr_Jf?.«.
711102 813 TO. Gxfirid Buddnp and Planning 8843470] FROIk E_P Boards ](303gp42310] SUBJECT: Pape 1
V _ r.
g_ -• * • •.
1 •
Permit #:
Date:
Permit Holder:
Job Add:
City:
Owner:
Phone #:
Status:
Final:
Inspector:
Corrections:
Comments: two modulars
Colorado State Electrical Board
1580 Logan Street, Suite 550
Denver, CO 80203-1941
Inspection Report
419660
6/28/2002
RPM ELECTRIC
5002 GRASS MESA RD
Rifle
KEN DURNIL
970-963-0716
ACCEPTED
Yes
Owens
" -.
__INSPECTIONS WILL NOT 13E MADE UNLESS TI -IIS CtRI) IS
' -
POSTED ON THE J013
24 IIOI Its NOTICE I('I REQ[ IRI:II FOR All I..\ I'I•:u I IO\s
MANUFACTURED HOME
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issue /aP°Zoned Area Permit No! .q -
AGREEMENT
In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and
regulations related to zoning, location, construction and erection of the proposed structure 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 noticefrom the County Building Official and IMMEDIATELY BECOMES NULL
AND VO
Use
Address or Legal DescMptio
Contractor
Footing .5 'X'D2— a (a i,(}- e 160z S-64._
I�rY—
Foundation or Blocking
Rough Plumbing
1.3
Final 6? -90-0,
Phone 384-5003
APPROVED
Date w
ile,Q1000)
(IF PLACED OUTSIDE, COVER WITI-i CLEAR PLASTIC)
Gas Piping 79, 0
Septic Final �f
Notes:5451" 114/4 Sikh
lbs
3 I ,: d'N; ; a9i:0.5b563 tom
TH ' ERMIT IS NOT TRANSFERABLE ...rn °1" 6e -fleas iliwgi3
/0000 64
Glenwood Springs,Colorado
109 8th Street, Suite 303. .,.County Courtho zse.
DO NOT DESTROY THIS CARD
By