2007-07-09_REVISION - M1980085

• Permit No: M1980085
• IBM Index Class Name: Revision
• Doc Date: 7/9/2007
• Doc Name: Submittal
• From: Greg Lewicki & Associates
• To: DRMS
• Type & Sequence: AM2
• Media Type: D
• Archive: No

-3-
11. Corresoondence Information:
APPL[CANTlOPERATOR (~, address, and phone of name to be used on pertttit)
ContactsNatt~: Harold F. Elam Title: President
Company Name: Elam Construction, Inc.
SireetlP.O. Box: 556 Struthers Avenue P,O. Box:
Ciry; Grand Junction
State: Colorado Zip Code; 81501-3826

Telephone Number: ( 970 ~ _ 2x2.5370
Fax Number: ( 1-
PERMITTING CONTACT (if different from applicaotJoperator above)
Contact's Naxc~: Greg Lewicki Title: Consulting Engineer
Company Name: Greg Lawicki and Associates

StreeNP,O. Box: 11541 Warrington Court p.O. Box:
City: Parker
State: Calordao Z(p Code; ao~3s

Telephone Number: ( 303 ) _ 346.5796

Fax Number: ( 303 ~ _ 3x6 - 693a
INSPECTION CONTACT
Contact's Name: Gayle Lyman Title: Property Manager
Company Name: Elam Construction, Inc.
streetlP.o. Box: 556 Struthers Avenue p.O. Box:
City: Grand Junction
gtate; Colorado Zip Code: 81501-3826
Telephone Number: ( s7o ~ _ 2x2.5370

Fax Number. f 1-
CC: STATE OR FEDERAL LANDOWNER (ifanv)
Agency:

Street:

City:

State: Zip Code:
Telephone Number: ( l -

CC: STATE OR FEDERAL LANDOWNER (ifanyj
Agency:

StreeC
City:

State: Zip Code:
Te{ephone Number: ( ) -