PERMFILE66125

• Permit No: M2002111
• IBM Index Class Name: Permit File
• Doc Date: 10/14/2003
• Doc Name: Revised Permit Application form and bond calc
• From: Greg Lewicki and Associates
• To: DMG
• Media Type: D
• Archive: No

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14. Correanondence Information:
APPLICANTfOPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Harold F. Elam Title: President
Compa~Name: Elam Construction, Inc.
Street/P.O.Box: 1225 South 7th Street P.O.Box:
Grand Junction
City:

State: CO Zip Code:
Telepho~Nnmber: ( 970 1_ 242-5370
Fax Number: ( 970 1_ 245-7716
PERMITTING CONTACT (if different from applicant/aperator above)
Contact's Name: Above Title:
Company Name:
SlreebP.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
ContacCs Name:
Company Name:
StreeVP.O. Box:
City:
State:
Above
81501
P.O. Box:
Zip Code:
P.O. Box:
Telephone Number: ( 1-
Fax Number:
CC: STATE OR FEDERAI.I.ANDOWN~R(ifany]
Agency: None
Street
Ci^.
CL1te:
Telephone N~ber: ( ) -
CC: STATE OR FEDERP.L LAI~IDO9VNER (if any
Agencv: None
Streec_
City:
State:
Telephone Number.
Zip Code:
Zip Code:
Zip