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G14FiF1ELD COUNTY B4,,'iLDING AND SANITATM DEPARTMENT
' 2b1.A 13tiike Avenue
GI id:,SPti�i s; Colorado 81601
(803) 6253321
Job Address
MMMMXN%XX Mx 2739 Count' ltoild 306
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Nature of'Work lXRMMIiXR�f1�dlXRMM 0ilil �i ilg
Use of Building
Residential
Dean M. Knox
Owner
Contractor
Date:
Amount of Permit: $
Nooo2s3o
Ellen L. Hicks. Clerk
PLEASE FILL IN
0 WiN'E If ON BUILDING PERMIT: Name
Mailing Address
Phone Number
CONTRACTOR ON BUILDING PERMIT: Name
Phone Number
-RUILDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
945-8241 / 625-3321
Owner: -
Contractor or Builder: _2e /e
Location: 0 ;7,3 9 el gad lv
Purpose for which building is to be used: o e -
Size of Lot:
Distance of building from property line at
Front:._ :� Rear:����
Distance from nearest building: f kw �
Source of water supply: - ty e l� -
Type of sewage disposal Sp Lo /1
Width of building: .30
11 Ui
Length of building _15�z)
Height of walls: -t
Floor space in square feet: O Aaggt
Estimated value: $ d ��
Date construction will begin:�
Permit charge: $
Plan check fee: $
TOTAL: $ l zo - �0 ,
Lp .3. 0
Garfield County, Colorado,
19 1
Left Side: -049 Right 5ide:.e4l
Number of stories: tj n e -
Number of rooms: l
Type of foundation:. re D✓ ems. L��� �.kc
Material in outside walls: Almez of
Exterior finish: Lay -1 &I -
Type of roof:
Date of completion: e5`Z, 5
And
,5
And I/We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully,
11.�
The County Commissioners hereby grant the above permit as per terms therein stated. This .�� day of
6Z I - 4 1912
BUILDING OF'F'ICIAL
GARFIELD COUNTY
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GHRF JELD COUNTY
STATE OF COlDrado
01f;ce of Sv;1c1;,1
-q Official
REQUEST FOR INSPECTION
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