2004-02-24_REVISION - M1977153 ‎(6)‎

• Permit No: M1977153
• IBM Index Class Name: Revision
• Doc Date: 2/24/2004
• Doc Name: Amendment Application
• From: Denver Water Department
• To: DMG
• Type & Sequence: AM2
• Media Type: D
• Archive: No

-3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Michael L. Walker Title: Attorney

Company Name: Denver Water
Street/P.O. Box: 1600 W. 12th Avenue P.O. Box:
City: Denver

State: ~ Zip Code: 80204
Telephone Number: (303 )_ 628-6474
Fax Number: (303 ) _ 628-6478

PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: Same as Above Title:
Compaq Name:

StreeUP.0. Box: P.O. Box:

Ciry:

State: Zip Code:

Telephone Number: ( ] -

Fax Number: ( ] -

INSPECTION CONTACT
Contact's Name: Same as Above Title:
Company Name:

Street/P.O. Box: P.O. Box:

City:

State: Zip Cade:

Telephone Number: f ) -

FaxNumber: f ) -

CC' STATE OR FEDERAL LANDOWNER (if any)

Agency:

Street:

City:

State: Zip Code:

Telephone Number: ( ) -

CC: STATE OR FIDERAL LANDOWNER (if any)
Agency:

Street:

Ciry:

State: Zip Code:

Telephone Number: (_ ) -