2018-06-25_GENERAL DOCUMENTS - M2012014

• Permit No: M2012014
• IBM Index Class Name: General Documents
• Doc Date: 6/25/2018
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: Dietzler Construction Corporation
• To: DRMS
• Media Type: D
• Archive: No

6/25/2018 Annual Report ePermitting Signup - Google Forms
https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgd5jdX541N_ohAWIAW1yax2OhlK…2/3
Berthoud
Colorado
80513
3035328865
M-2012-014
Levi Baker
Meghan O'Brien
[e-mail]
City: *
State: *
Zip: *
Telephone: *
Permit/NOI Numbers (ie M-1987-189, P-2016-026):
Last Name of individual who will act as account administrator for the ePermitting account: *
First Name of individual who will act as account administrator for the ePermitting account: *
Email address of account administrator: *
The account administrator is responsible for providing the Division with a current email address for ePermitting correspondence. Please contact the
Division if an existing administrator email requires updating.