2018-10-03_GENERAL DOCUMENTS - M1980205

• Permit No: M1980205
• IBM Index Class Name: General Documents
• Doc Date: 10/3/2018
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: Select Materials, LLC
• To: DRMS
• Media Type: D
• Archive: No

10/3/2018 Annual Report ePermitting Signup - Google Forms
https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgcUz_ES8fAITJaECQLpQGQ0v6e4…2/3
Ft. Lupton
CO
80621
3038574688
M-1980-205
Ciancio
Jayme
[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.