PERMFILE106665

• Permit No: M2004047
• IBM Index Class Name: Permit File
• Doc Date: 7/25/2004
• Doc Name: New 112c Appl
• From: Farfrumwurkin LLLP
• To: DMG
• 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: JON FILE Title:
Company Name: FARFRUMWURKIN, LLLP

Street: 1163 OAKHURST DRIVE

City. BROOMFIELD. CO 80020

State: COLORADO Zip Code: 80020
Telephone Number: ( 303 )_ 404-3225

Fax Number: ( 303 ~ _ 404-0778

PERMITTING CONTACT (if different from applicandoperator above)
Contact's Name: PETER WAYLAND Title: PRESIDENT
CompanyName: WEILAND INC.

Street: 10395 WEST COLFAX SUITE 350

City. LAKEWOOD,

State: COLORADO Zip Code: 80215
Telephone Number: ( 303 1- 436-09 S 1

FaxNumbec ( 303 )- 601-0943
~ INSPECTION CONTACT
Contact's Name:
Company Name:
Street
City.
State:
JON FILE
Title:
FARFRUMWURKIN, LLLP
1163 OAKHURST DRIVE
BROOMFIELD
COLORADO Zip Code: 80020
Telephone Number: ( 303 ~ _ 404-3225
Fax Number: ( 303 ~_ 404-0778 CC:'
Agency:
Street
Ci[y
Stale:
Zip Code:
Telephone Number: ( 1
CC• STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Street
City:
State: Zip Code:
Telephone Number: ( 1 -