2002-10-28_REVISION - M1992066

• Permit No: M1992066
• IBM Index Class Name: Revision
• Doc Date: 10/28/2002
• Doc Name: Completeness Submission
• From: Duckels Construction Inc.
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

i. _t.
14. Corresoondeoce Information:
APPLICANT/OPERATOR (name, address, and phone of name [o be used on permit)
Con[act'sName: Fred A. Duckels Title: President
Company Name: Duckels Construction, Inc.
Street: 3500 Duckels Court
City: Steamboat Springs
State: Colorado Zip Code:
Te]ephoneNumber: ( 970 ~_ 879-6072
Fax Number: 9( 70 1- 879-6748
PERIvIITT1NG CONTACT (if different from applicanUoperator above)
Contact's Name: Cheryl Driggers Title:`
Company Name: Duckels COnstruction, Inc.
Street: 3500 Duckels Court
City:
State:f
Steamboat
Colorado
80487
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contacts Name:
Company Name:
Street:
City:
State:
9~ 70 1_ 879-6072
9{ 70 1- 879-6748
same as permitting contact
Zip Code:
Telephone Number: (-~ -
Fax Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if anvl
Ageacy:
Street:
City:.
State:
Telephone Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Street:
City:
Stale:
Telephone Number: (_~ -
Zip Code: 80487
Zip Code:
Zip Code: