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Date:
Patsy J. Tenney, Clerk
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BUILDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
Serial No. 18919
Building No. BM -116
Garfield County, Colorado, __ ....;;M=a=r=-cc..;h;.;._._-6_· ___ , 19 ~-
Owner: __ __cE=cx=x=o=n=---C=o=m""p=a=n:.:..y..,__._,___;::U"""'· • ...,s"""'". A=·-----------------------------
Contractor or Builder: Brown & Root, Inc.
Location: Battlement Mesa, Colorado -421 Mineral Springs
Purpose for which building is to be used: ---=3'-"'m:.::a::.:n::.-=b-=a:..:,c""'h""e=l-=o-=r:.....::g:i..u=ac:.::r...,,t""'e::..:r::.:s=-----------------
Size of Lot: N /A
Distance of building from property line at
Front: N /A Rear: -----""N .... /"""'A-=------Left Side: __ _.N.....,_/A=-·--Right Side: __ N...._I .... A ______ _
Distance from nearest building: -----""N..._/-=A-=--------Number of stories: ___ ....:O""n.....,.,e'-------------
Source of water supply: Battlement Mesa Number of rooms: ___ T::.ch=r...::ec...:e:..._ _________ _
Type of sewage disposal: Sanitary sewer system
14' Width of building:---------------
Type of foundation: Concrete blocking
Material in outside walls: 2 x wood studs
60' Length of building: _____________ _ Exterior finish: __ M_e_t.:....a_l _____________ _
Height of walls: ____ _,8,.__' __________ _ Type of roof: Composition shingle
Floor space in square feet: __ ....:8,,,_4""----"'-0-' _______ _
Estimated value: $ -=2-=-5....._,-=5""9"".l,'"".;;..;:d:;..:8'::;__ ________ _
Date construction will begin: Existing: Date of completion: _______________ _
Permit charge: $ -=l=l=S'-'.=-0=-=0 _______ _
Plan check fee: $ ____________ _
TOTAL: $ 115. 00
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, ~ ,,t. 721~ FJ.odE.~es
Senior Permit Coordinator
Tb C . ;·~+II e aunty Commissioners hereby grant tbe above permit as per terms therein stated. Tbis ____ ,,__ ..... 1-.e=-----
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BUILDING OFFICIAL
day of
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