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Garfield County Public Health Department – working to promote health and prevent disease Public Health 195W.14th Street Rifle, CO 81650 (970) 625-5200 2014BlakeAvenue Glenwood Springs, CO 81601 (970)945-6614 OWTS PERMIT APPLICATION TYPE OF SYSTEM CONSTRUCTION New Installation Major Repair Minor Repair Alteration Vault and Haul BUILDING USAGE TYPE Dwelling Transient Use Comm./Industrial Non-Domestic Other Describe INVOLVEDPARTIES PropertyOwner: Phone:() Mailing Address:_ Email Address: Contractor: Phone:() Mailing Address: Email Address: Engineer: Phone:() Mailing Address: Email Address: PROJECTLOCATIONANDDESCRIPTION Project Address: Assessor’s Parcel Number:Sub. Lot Block Building or Service Type:#Bedrooms: GarbageDisposal(Y/N) Distance to Nearest Community Sewer System: Was an effortmade toconnect tothe CommunitySewer System: PotableWater Source & Type Well Spring Stream or Creek Cistern Community Water SystemName 970 125 CENTER DRIVE #11 GLENWOOD SPRINGS, CO 81601, USA woodwerxc@gmail.com WOOD WERX CONSTRUCTION LLC ARMANDO MELLIN 970 379-7071 379-7071 125 CENTER DRIVE #11 GLENWOOD SPRINGS, CO 81601, USA woodwerxc@gmail.com PAUL E. STOFFEL P.E.970 355-9796 213 LINDEN STREET, SUITE 200, FORT COLLINS, CO, 80524 pstoffel@jvajva.com 607 HIGHLANDS DR, GLENWOOD SPRINGS, CO 81601 GLENWOOD HIGHLANDS EST AMD 4AS218505113004 4Single-Family Residence 2.3 Miles (West Glenwood Springs Sanitation District) N/A Not Available 4 )) &/7 &(3 .7//7/ 7 (%) / & ..7(7/ 7)) /(&7.7 (& /(& 71)(&7.1 7 61,/ ,7%& /(,47& 7 /(& 7/ ./.7& 7, )(,/.7.7%47 7 , +1, 7 47/ 7 ( 7 /7 ),/% &/7/(7 7% 7& 71,&. 7 47/ 7)) &/7(,7 47/ 7 ( 7 /7 ),/% &/7(, )1,)(. 7(7/ 7 2 1/(&7(7/ 7)) /(&7& 7/ 7..1& 7(7 / 7) ,%/7.7.1 /7/(7.1 0 ,%.7& 7 (& /(&.7.7 % 7& ..,47/(7&.1, 7 (%) & 73/7,1 .7& 7, 1 /(&. % 7&(,%/(&7& 7 , )(,/.7.1 %// 7 , 3/7 & 7, +1, 7/(7 7 .1 %// 7 47/ )) &/7, 7(,7 3 7 7, ), . &/ 7/(7 7/,1 7& 7 (,, /7/(7/ 7 ./7(7%47 &(3 7& 7 ! 7 & 7- 7 .& 7/(7 7, 7(&7 47/ 7 ( 7 ),/% &/7(7 /7&7 2!1/&7 / 7.% (,7)1,)(. .7(7..1&7/ 7) ,%/7)) 7(,7 , &771,/ ,71& ,./& 7//7&47 . /(& "(,7%., *, . &//(&7%57, .1 /7&7/ 7 & 7(7/ 7** /(&7(,7, 2( /(&7(7 &47) ,%/ #,'/ 7 . 71)(&7. 7)) /('7' 7 $7 /(&7(,7) ,1,47.7),(2 7 47 3 4 + 34"&(2# 4- .4 4 1 4+ 4&40& +,.&4. 4(. 4&4 +. . (&4(1 4,4 2 $$4,4 1 4)+(1 4/ 4+ *0 + 4 & (+%. ('4 2 4!,4(++ .4&40+. 4.(4. 4 ,.4( 4 $% +() +.342' +4+ &.4&4 &4 . 4 44 4 ) $4(& . (&,4 +% .4 4 (.$4 ,4 ,4 4 0 # & 4 +% .4 4 +% .4 ,,0 4 . 4 $& 40 4 + $4(0&.340$ 4 $. 4 )+.% &.4 & 4))+(1$4 . 4 % #% % % %" % % % % % ! % % .34 4 4446