2019-06-17_PERMIT FILE - M2019035

• Permit No: M2019035
• IBM Index Class Name: Permit File
• Doc Date: 6/17/2019
• Doc Name: Application
• From: Martinez Western Constructors
• To: DRMS
• Email Name: ACY
• Media Type: D
• Archive: No

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11. Correspondence infonnation:
APPLICANTIOPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Paul Martinez Title: Vice President
Company Name: MarUn z WeeWmConaftdom Inc.
Street/P.O_Box: 718 Railroad Ave P.O.Box:
City: Rifle
State: Colorado Zip Code: 81650
Telephone Number: (970 )_ 989-5358
Fax Number. f ?-
PERMITTING CONTACT (if different from applicantl'operator above)
Contacts Name: same Title:
Company Name:
Streev?.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: (Fax Number: ( 1-
INSPECTION CONTACT
Contact's Name: Paul Martinez Title: Vice President
Company Name: Martinez Western Constructors Inc.
Stre&P.O.Box: 718 Railroad Avenue P.O-Box:
City: Rifle
State: Colorado Zip Code: 81650
Telephone Number: (970 1- 989-5358
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ! 1-
CC: STATE OR FEDERAL LANDOWNER(if any]
Agency:
Street:
City:
State: Zip Code:
Telephone Number. ( )-