HomeMy WebLinkAbout57 Elk Pl - 210518302003EAGLE�.,OUNTY ENVIRONMENTAL HEALTL /
ite Refered
ROUTE FORM
�►�� • ► ��
LOCATION
Permit Number
?lease review the attached application and return it and this completed form to
the Environmental Health Office within 6 working days.
3LANNING: File No. Yes No Reviewed by Date
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
:omments:
"OUNTY ENGINEER
�omments:
Roads
Grading
Drainage
Recommend Approval
BUILDING DEPARTMENT:
Set backs
Site
)they
Comments•
Access
I
Recommend Approval
J /t�i t7U
PERMIT NO.
�cIJVIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMI
Name of Owner: Pamela & John Horan -Kates
Address of Owner: P.O. Box 1565. Vail, Colorado 81657
Phone:
S'�EI ki'lace.
PERMIT FEE $25.00
T 0
476-13175 490
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system: Approximately 10 miles Benchmark
Location of Proposed System: 30 to 110 feet Northwest of proposed residence
Legal Discription: Lot 20, Block 6 Lake Creek Meadows, recorded in Book 261, page 163
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 2
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: 2 acres Public water Supply: Lake Creek Meadows Water
District
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system: Mr. Jim Kemp
P.O. Box E, Edwards, Colorado 81632
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent per it. � _ ff4o,&
SIGNATURE OF APPLICA . ' Date: April 22, 1978
(This application becomes invalid 6 months from above date.)
Percolation Information:
Tank Capacity:
Absorption Area:
REMARKS:
APPLICATION IS:
HEALTH DEPARTMENT USE ONLY
� Mpl
gal. (minimum)
Sq. ft. (minimum)
PROVED ( ) DENIED
Permit No.
Fee Recei
File:
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
D
Date: Sanitarian:
rep:: $ 5 o0
1pnlic, tion No. _� icy P (armi.t No.
Owner:
Lei l Description:
Tyne of Dwelling No. of Bedrooms:
Date of Test: � enth of Holes:
�ao-c
Di.r:nieter: � Tyne of Soil: � -
Loc::i a on of Test Holes•
Test hole Nras nresoaiced fro.n: To:
`dime Dste Time Date
D:
17f+7_ t.R DEPTH
INCHES Or FALL
RATE
3
l _
Z
l
2
3
''�
l
2
3'
_L
�exc:olation Kato:
Site has been revand .tes.-e:d for ,,er coIation. z atc. ;
Stie 'r0cro."leiid 1I'11ROWL DISIJ PROVAL DpTD:
1j'a.-I o cou lz Ly
d::1 ✓�l 600
r
r
N
3
�
O
r
X
O
U
-h1
4-4-
- 4
O
r
O
0'
X
N N'
cn
O
Q
r
M O
1
N
x
-a
0
r
RS
F= N
r
N
O -N
4-
4-)
i =
r�
Y
"0
CU
(IjN •E
N
rs3
/�
co
U
O CVO
•r
S
r d"
co
O
N
r I I
S-
S
Y
O
"0
co
N 0) r M
0
J
•r ft3 \
4-
.5--
—
> O •r .S=
O
O
1 N
CO O 4-1 U
'7
N
O O 5= 5=
O S.-
Cll •r
-F�
oZS
CV U
4-1 r t3
4-
(o
4 t •r N
fo
i-)
O N O
CS
r
O CV
U N O
N
Jv
E
N
NI
Q ..
p
a
�I— ••w
l4
LLI
O
__j LL. Z Q
4--)
LLI
Z
U
f~IVWtl'
01
W
3
O
Z�-l3LLI
:3
0-
O
J
�- q Cn M Cl.
Cn
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 1 90 —92
Please call for final inspection before covering any portion of installed system.
OWNER: .Tobn HaranKetes PHONE: 926-3335
MAILING ADDRESS: P.O. BOX 1565
AGENT: PHONE:
SYSTEM LOCATION: 57 Elk P1 ac , Lot 20, 'Block 6 T akP CrPPk Mpndnwg
LICENSED INSTALLER: Gopbi r Rxcava i ng LICENSENO.- 51 —92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 854 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: __ 3001 of SB2 or (Requested by applicant.)
Install inspection portals in each trench.
ENVIRONMENTAL HEALTH OFFICER: DATE: / �J
CONDITIONS:
1. ALL INSTALLATI NS MUST COMPLY WITH ALL QU ENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUT TY GRANTED IN 25-10-104, C.R.S. 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH
LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED'
PRIOR TO COVERING ANY PORTION OF THE SYSTEM. �/} p
INSTALLED ABSORPTION OR DISPERSAL AREA: ✓�" SQUARE FEET.
INSTALLED SEPTIC TANK: W GALLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALSAND ASSEMBLY YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NOO REQUIRES CORRECTION BEFORE FINALL APPROVAL O%F SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK
/IS COMPLETED.
COMMENTS: ®Sll r� Lam' �C'Ps1JR.4i-� /itT >�f/-7r/ <P A b2 `L/X SL°[%p�C2Ed.0 K ,, Ty x%,
o
ENVIRONMENTAL HEALTH OFFICER: DATE: ` qa
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
101Y M
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit # I I -( 0 -
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328-8755 927-3823(Basalt)
��d� WAf v'
PERMIT APPLICATI N FEE $ ��� PERCOLATION TEST FEE $200.00
PROPERTY OWNER: -
MAILING ADDRESS: ` - �� ^' �`s�'� PHONE:
APPLICANT/CONTACT PERSON: PHONE!-.
LICENSED SYSTEMS CONTRACTOR:
ADDRESS: too �S C?_�� l�rzr ��� PHONE • 7 % /_
********************************************************************40-,k 4. 4. 4. 4.4
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
0 Nk 6
Legal Description:'
Parcel Number: -- Lot size:
K REPAIR
Physical Address: S ZS( 4 fae�
BUILDING TYPE: (Check applicable category)
Residential / Single Family Number of Bedrooms 3
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
TYPE OF WATER SUPPLY: Well(
) Spring ( ) Sce { )
Public (ui Name of Supplier:/E CQ
�"
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE• ^ DATE:
**********e.-:,
AMOUNT PAIRECEIPT# �, �S l DATE •
CHECK # CASHIER:
193 oa o03
COMMLINITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
September 22, 1992
John Horan -Kates
P.O. Box 1565
Edwards, CO 81632
RE: Final of ISDS Permit No. 1190-92
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328.7207
This letter is to inform you that the above referenced ISDS
Permit has been inspected and finalized. Enclosed is a copy to
retain for your records. This permit does not indicate
compliance with any other Eagle County requirements. Also
enclosed is a brochure regarding the care of your septic system.
Be aware that later changes to your dwelling may require
appropriate alterations of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Division at
328-8755.
si-ncerelcy,`�
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP#
iu PM
001.
Mac(-
-
Mae
917,
fL
10
o
,3931
Li
y�
r
77
E
COMMUNITY DEV
LOP
/1
5�
AN-
t=
i
PERCOLATION TEST^• —
EAGLE COUNTY'ENVIRONMENTAL HEALTH DEPT.
LEGAL DESCRIPTION: / o l �U
MAILING ADDRESS:
TYPE OF DWELLING: S� `� / NUMBER OF BEDROOMS
TEST HOLES PRE—SOAKED: YES— )<_ NO
M TwRT
MJN urr-t-n
_L vc:nzb
Ur.
PALL
RATE
SOIL PROFILE
1
2
3
1
2
3
1
2
F3
1
2
3
0 11
1 c _ CIA
:00
3;01
3roa
1371
a
/3�+
y
""
aO
/0
2
eDS
3.06
3,,Q7
� e
/
a �.
�_3 �
=
a
—
ao
Id
—
3
3,1s
3<<�
1 a
1 yy
a
J
3
r 1�
�3v
y
H
q
���
o
s
aU
4
ao
el
6
-5-
: a�
: a�
a4
�y�
I3 a
v
_
ab
as
--
'�e
3`31
3� �
a`la
113 y
4
y
v l
D
ao
YO
8
3s�
3�3,6
3: 3 7
a a = !
a �/ 3
3 2
: ya
3; y l
3 1 0
02
as "
y-1,
113,11,20
136
Time to drop last inches Jo ri aj
r
PERC RATE: li1-S E 6/0 lip f _
INIMUM SEPTIC TANK SIZE:_
MINIMUM LEACH FIELD SIZE:
COMMENTS:r to r€d4Y �uen w� L�+✓d��Tr l�s, ��k«� �c (� Px�c l>' �✓�i Q U re
w
PERC TEST DONE BY:
R)L5 //fi, q-?(?
-,
r
tsof
3vo'saa-
fa /yo1 UGC J O a d �� S4, r Peer
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 1732-97 BP NO. 6206
OWNER: JOHN HORAN-KATES PHONE: 970-926-3335
MAILING ADDRESS: P.O. BOX 6447, AVON, CO 81620
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 57 ELK PLACE, EDWARDS, CO TAX PARCEL NO. 2105-183-02-003
LICENSED INSTALLER: GOPHIE EXCAVATING, KIT REID LICENSE NO. 46-97 PHONE: 926-2409
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
SPECIAL REQUIREMENTS: INSTALL NEW SEWER LINE CONNECTING GARAGE TO EXISTING SYSTEM INSTALL CLEANOUT BETWEEN THE
TANK AND THE GARAGE, AND CALL THE COUNTY FOR FINAL INSPECTION PRIOR TO BACK FILLING
ENVIRONMENTAL HEALTH APPROVAL: OR, *%�=DATE:PTEMBER 29, 1997
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS,
ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25-10-104, 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND BUILDING
REQUIREMENTS, CONNECTION TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND BUILDING DEPARTMENTS
SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO
BE LICENSED.
FINAL APPROVAL OF SYSTEM (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL
THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET (VIA )
INSTALLED TANK: GALLONS IS LOCATED DEGREES AND FEET FROM
COMMENTS: Installed connection from existing system to Garage Garage to be used as a
work area only, not intended as additional living space. System is adequate for 3 bed-
rooms only.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: October 3 0. 1 9 9 7
0�);1b
(site Plan MUST be attached)
15DS Permit I mo "
r.U2
APPLICATION FOR IXDI XDUAL BZWAGB 0I8 AL SYBTZK PZR=T
ENVIRONMENTAL HEALTH OFFICE - FA.GLE COUNTY
P. O, BOX 179
LADLE, CO 81631
328-87551927-3823 (El Jebel)
1ttR+ktklltirtkl6*#�1w'R1t#tRMttlt#1t**#AAiR#iR'14'M'**krt**##'kFi�t*1k+A"i►#'f7ki#it7k71tlitir*1k1ii;#rtBrt#�#i*i�fi!!
* PERMIT APPLICATION FEE $35b.00 PERCOLATION TEST FEE
• i
* 1 1KL ALL REM3'1'TANCE PAYABLE TO: "EAGLE COUNTY TREASTIM"
***** * a� � # iM rt # � atr+w aM ,r * tk//ti � fr � rlr � # 1t 7k skit k,,i`iF�# # 147ti"!t * ik �F 7k * f # lt'� �' �'R 7Y' i�'!t 7i� 1k # � flf 1► k fk 1k th'k 7k Iir i � �t +11 11 �'7k
PROP OWNER: --- FxoNE: L—I�.
MAILING ADDRT:,SS
APPLICANT/CONTACT 1P'ERSOX-. s PHONE: I
MAILING ADDRESS : ,�•- ,p _
LICENSEDIsOs C NTk' CTO �``�/T ONE: f•_, }),_,
COMPANY / ORA : fWA jCC ADDRESS! �
:Wjk'11tlFlAtlki,k�filliei�fkR�itf*71'iR7kArPERMIT APPLICATION IS FOR: ( ) New Installation 1•Geration () Repair
i#7�'*�eF�Fi#at#>at74ir#*'**#dt�i**
LOCATION OF PROPOSRD INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit if 62406 (i knaw�
Legal Description: subdivision:' Filing: Block: 16 Lot No,
Tax Parcel Number: G ej 3 Lot Size: �• � � �'
strAmt Address: 57 z:52.t 4 1iLPf&P-S'
*�+41k,#iM�ir�ta�ir#dk#�+Irk+k�4�rsk�rk#*:w�►,M,kfi**�:��*�f•t��,rf+F#��+r��*ar��,k#-A+t+��*�ik�*+ki��it��
BUILDIN TYPE: (MOCX applicable category)
Residential/Single Family Number of Bedrooms
F) Residential/Haiti-Family* Number of Bedrooms
( Commercial/lhdustrial* Type
TYPE OF WATER sUFPLY: (Check applicable category)
( ) Well ( ) spring ( ) Stir a c�
Pq Public Name of Supplier- l.vr
*These mymtems require d4siq Registered Professional Engipeer
SIGNATURE: Date!
�r#*deaki+lti#�#ralrrMiA *i*,L f*,�:rtkirihi7Yt*#iFii�tr�yt*+lktkflt�llrtltt*!**t#!tt***ik'ii*tyt**�'lt�1t'i�'#*,'t#'#flit
TO' BE 'COMPLETED -BY THE COUNTY
ANO= PAID: RECEIPT I: DATE:
/g`sb CHECK 1: CASHIER:
-P- U. A
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81 u3 1
FAX (303) 328-7207
September 10, 1992
Gophir Excavating
P.O. Box 3055
Vail, CO 81658
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1190-92, Lot 20, Lake Creek Meadows Sub.
Dear Applicant:
Enclosed is your ISDS Permit No. 1190-92 valid for 120 days.
The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call
our office well in advance for the final inspection. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for the final inspections done
by Eagle County Environmental Health is December 1. Systems
designed by a Registered Professional Engineer must be certified
by the Engineer indicating that the system was installed as
specified. Eagle County does not perform final inspections on
engineer designed systems.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
County requirements.
If you have any questions, please feel free to contact us at
328-8755.
Sincerely,
Brenda Henderson
Environmental Health, Administrative Assistant
cc: file
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: September 29, 1997
TO: Gophir Excavating
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Alteration Permit No. 1732-97,
Tax Parcel #2105-183-02-003. Property Location: 57 Elk Place, Edwards, CO.,
Horan -Kates residence.
Enclosed is your ISDS AlterationPermit # 1732-97. It is valid for 120 days. The enclosed copy
of the permit must be posted at the installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved.
Due to weather constraints, all permits issued before November 14, 1997, must be
completed by November 26, 1997, for final inspection. Please call our office well in advance
to allow for scheduling of final inspection. Your building permit CO will not be issued until
final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755,
cc: files
Enclosure: ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 30, 1997
John Horan -Kates
P.O. Box 6447
Avon, CO 81620
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit No. 1732-97, Tax Parcel #2105-183-02-003. Property location: 57
Elk Place, Edwards, CO.
Dear Mr. Horan -Kates:
This letter is to inform you that the above referenced ISDS Permit has been inspected and
finalized. Enclosed is a copy to retain for your records. This permit does not indicate compliance
with any other Eagle County requirements. Also enclosed is a brochure regarding the care of
your septic system.
Be aware that later changes to your building may require appropriate alterations of your septic
system.
If you have any questions regarding this permit, please contact the Eagle County Environmental
Health Division at (970) 328-8755.
Sincerely,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
�- �. T
r�tiSY.k(T `rv4o
LcG Hc+1.15�
c = er r,a.;-Li N L
b FIELD COPS'
Lcr1' r� -S At1�Nts�v � = 5�+I-4p
- NU t lvG -
No inspections will be Inede on tttif6.P4"
r.a;.3y that sot 01 Moved P! fS ev-
:,�:� ;;:e tild In es use.
REVIEWED FOR CODE COMPL UkNCE
c->UgjF_r,,TTO FIELD l SpE 1
DOD-
Eagle CoumY
.�•��� r+.,*,WqrrmW
u
F
l
dd
4
TOTAL P.03
1-92 - Parcel 1tZiUS1b3U2UU3, 1/jL—y/ Laxif z_LuD—iu3-UL-vu3
_Elk Place, Lot 20, Block 6, Lake Creek Mdws, Lot # 20, Block 6, HORAN-KATES
fohn Horan -Kates Lake Creek Meadows ALTERATION �•Q%1J1/`f'�� I ( (fiT oNo.
57 Elk Place �'B
JOB LOCATION �� �, s
' C
BILL TO
�66
DATE STARTED
DATE COMPLETED
DATE BILLED
v
JOB COST SUMMARY
q�+;
n
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
`
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
�0. 1I s ����✓��
J ��
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 ®c, NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in USA
c
M
V
RD _QD F-rCIF:LE
-- A 4X20
�1
