2012-04-11_PERMIT FILE - M2012014 ‎(4)‎

• Permit No: M2012014
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/11/2012
• Doc Name: NEW 112C APPLICATION
• From: PATRICK ENGINEERING
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Joel Slate Title: Project Manager
Company Name: Dietzler Construction Corporation
Street/P.O. Box: 1306 Main Stre P.O. Box:
City: Torrington
State: WY Zip Code: 82240
Telephone Number: ( 307 ) _ 333 - 7552
Fax Number: ( )
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Mickey Leyba - Farnsworth Title: Project / Engineering Manager
Company Name: Patrick Engineering
Street/P.O. Box: 1400 W. 122nd Ave, Suite 10 2 P.O. Box:
City: Westminster
State: CO Zip Code: 80234
Telephone Number: ( 303 ) _ 532 - 8627
Fax Number: ( 303 ) _ 532 - 8621
INSPECTION CONTACT
Contact's Name: Joel Slat Title: Project Manager
Company Name: Dietzler Construction Corporation
Street/P.O. Box: 1306 Main Stree P.O. Box:
City: Torrington
State: WY Zip Code: 82240
Telephone Number: ( 307 ) _ 333 - 7552
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( ) -