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PERMIT
KEEP AVAILABLE AT PROJECT SITE
Project Address ____________________________________________ Parcel No. ________________________
Subdivision _________________________________ Lot _______ Section-Township-Range ____________
Owner Name ______________________________________________ Owner Phone _____________________
Owner Mailing Address _______________________________________________________________________
Contractor(s) ______________________________________________ Contractor Phone _________________
Work Description:
Valuation _________________________________
Square Feet _______________________________
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION. PLEASE NOTE: Final inspection of the work authorized by this permit is required. A
Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. A Building Permit becomes null and
void if the authorized work is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of
180 days after commencement.
Permit Type ____________________________________
Work Classification _____________________________
Issue Date ___________ Expiration Date ___________
PERMIT #
Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601
Phone (970) 945-8212