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2009-06-09_PERMIT FILE - M2009048
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2009-06-09_PERMIT FILE - M2009048
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Entry Properties
Last modified
8/24/2016 3:47:29 PM
Creation date
6/9/2009 11:41:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2009048
IBM Index Class Name
PERMIT FILE
Doc Date
6/9/2009
Doc Name
New 112c application
From
Grand Junction Concrete Pipe Co.
To
DRMS
Email Name
THM
Media Type
D
Archive
No
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-3- <br />t 1. Correspondence Information: <br />APPi..ICANT,'OPERA'.1'OR (name, address, and phone of name to be used on permit) <br />Contact's Name: Edward JSettle Title:Project Mana er_ _J <br />Company Name: Grand Junction Concrete Pipe-Co. _ <br />Box: <br />Street/P <br />O P.O. Box: 1849 <br />. <br />. <br />Cit <br />: Grand Junction <br />y <br />State: Colorado Zip Code: 81 502 <br /> <br />mber: <br />N <br />h <br />T <br />l 245-9301 <br />( 970 ) - <br />u <br />ep <br />one <br />e . <br />b <br />N <br />F ( 970 ) - 243-6703 <br />er: <br />um <br />ax <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Contact's Name: Same as above Title: <br /> <br /> <br />?,.....t,....J <br />Street/P.O..Box: P.O. Box: <br />Cit <br />: <br />y <br />State: Zip Code: <br />Number: ( ) - <br />h <br />T <br />l <br />one <br />ep <br />e -- <br />ber <br />{ ) - <br />N <br />F <br />: <br />- <br />um <br />ax <br />INSPECTION CONTACT <br />Contact's Name: Same as above Title: <br />Name: <br />an <br />m <br />C <br />y <br />p <br />o <br />Street/P.O. Box: P.O. Box: <br />Cit <br />: <br />y <br />State: Zip Code: <br />ber: ( ) - <br />N <br />h <br />T <br />l -- <br />um <br />one <br />e <br />ep - <br />ber: ( ) - <br />N <br />F - <br />um <br />ax <br />CC: STATE OR FEDERAL I.ANDOW'!FR if an <br />Agency: _ _..__....__....._• .......... ...--------- -- ------- <br />Street: -------------------....... .......................... ......----- <br />City: __......_....___......_....._._............ ___.... ._.......................... ......._.._..... _,_..-_-__...__.___...._....._ ._.___.._......__....__._._._....._..__.-..................__._..._...__-.-_.._..---._.____.... <br />State: .... Zip Code: <br />'t'elephone Number: t--------- -_-----._._.-___..) ..... <br />.............._. <br />__.___....._._......... <br />STA`I'_F._OR FEDERAL I._ANi LQ( 1!T R (if anyi <br />nc <br />: <br />A -------- <br />y <br />ge <br />Street: ?_- <br /> <br />City <br />State: Zip Code: ....___..._._.......................... ..-_.............. ..___- <br />Telephone :dumber: i _........... .......... ....-_------- ) _.----------- ---...._....... ...... -....._.._._._ _.....__.._......_.................... ....._............_-----------------
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