2014-12-12_PERMIT FILE - M2014068

• Permit No: M2014068
• IBM Index Class Name: Permit File
• Doc Date: 12/12/2014
• Doc Name: New 110c Application
• From: City of Holyoke
• To: DRMS
• Email Name: TAK
• Email Name: ERR
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Mark Brown Title: City Superintendent
Company Name: City Of Holyoke
Street/P.O.Box: 407 East Denver Street P.O.Box:
City: Holyoke
State: Co Zip Code: 80734
Telephone Number: (970 _ 854-2266
Fax Number: (970 _ 854-2833
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: same as above Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: same as above Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if my)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER(if My)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-