PERMFILE44894

• Permit No: M2002119
• IBM Index Class Name: Permit File
• Doc Date: 12/18/2002
• Doc Name: Permit Application
• From: Elam Construction Inc.
• To: DMG
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICAAFI'/OPERATOR (name, address, and phone of name fo be used on permit)
Con~act'sName: B~e1 ~~ ~~ am Title: President
Con7DanyName: E137p f'nnGtrnrtinn Tnn-
Stteet/P.O.Box: 1225 Gouth 7th Street. P.O.Box:
C~ - GY 3rd- TLl rLC t 1 O ^

State: C a d Eyf. a d o Zip Code: A 1 F 01
Tc:ephone'_dumber: (( °~n ,_~ - 2 4 2- 5 3 7 0

:~:'.tiun:tx.,: ( 970 1- 295-7716

PERMITTING CONTACT (if different fromapplicant/operator above)
Contact'cName: Same-as d1a9Vg Title:

Company Name:

SttrzUP.O. Box: P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Zip Code:
INSPECTION CONTACT
Contact's Name: Game as ah~ve
Company Name:
SheeUP.O. Box:
City:
State:
Telephone Nombet: f 1-
Fax Number: L 1-
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency: none
Street:
City:
State:
Telephone Number: ( ~ -
CC: STATE OR FEDERAL LANDOWNER (ifatry)
Agency: non P
Street:
City:
State:
Telephone Number.
P.O. Box:
Zip Code:
Zip Code:
Ztp Code: