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• ;�FEB, 6, 2006 9 ; 03AM SELA ROOFING & REMOD N0, 223? �P, �1/3��� <br /> � i <br /> Tot�.l Fee: S '� � �'� <br /> Ent�red By: t�- v�ti7 —� DateRec�ived; �-� l.��C: �:� <br /> ��,�,/� 1'elr'tnit�#: /���-�� c ��� : <br /> � t,, <br /> ^< C�TY OF 0120N� - BUILDING �E!R,MYT AppLICATION <br /> �����;� � <br /> I All iuformatiqu must be submitt�d in ful�befoxe plan review will be sta�tecl. <br /> (please pri�t atd inforr�iareon) <br /> ; �----- �-------�----- -------------�------�-----��----�-----�----- �---- � <br /> __ --- �----��----------..�--__----__�-- <br /> � TH+APPLICANT XS: . �� (circle ot�e) OWN'ER O� CpNTRACT01� <br /> ; <br /> , <br /> JOB SITE ADARESS: � , �7 ���' G �; <br /> Will this be a�ar�de of Hom�,s,Re�nodelers a�o�+vcase Home or other Display I-�ome? <br /> ❑ ��� ❑NO Ijyes, a special event permiC is r�q�ir�d with Polfce be,parrment and Ciry Cbu�eil approval <br /> 60 duys praor lo the event. Shuttle bus seYviae yyfll Ge�equirgd undess¢pp1'rcant demon,strat¢s <br /> su�cienz on-sFae pa�kfrig is availa8le. Non';perm�tled events wf/1 noa be callowea! <br /> `/� � <br /> NAM�C OF O'�VNElZ:�� �i�i� � �a �,r}' PHONE: (laome�S�� 2 C��� <br /> �tiVOfTC� � <br /> MAILINC,ADbZtESS: CxT'Y: 7.IIP: <br /> I �— <br /> CONTRA,CTOR: SElA ROpp�NG � REMc��]�jl �n�r• , p�pNE 2 Z O �� <br /> CONTAC�'PE�2SO1�T: 41 Up EXCE�SIOR �,�Q��,E/�,AG�R; <br /> MAXLINC ADDRESS: .�LDUIS PARK, MI� ��'Y; ZIP: <br /> i STATELYCENSE; # 0�(��p�xZONDAT�; <br /> ' ARCI3CTECT/ENCCINEER; PI�OIVE: <br /> MA,�LIN�ADDRESS: ICYTY: ZIP: <br /> NA1�E; �ZEGISTRATrON: # <br /> TYPE OF WOItK: New Home Addition Accessory Structure <br /> Mov�1�-Tome , RemodeUAltleration (ie: Sidiz�g, Wandows) <br /> � P OPOSED W �'e ' � � <br /> j �RK( scrcl5e an detaal�: . 0 ����� � �� � <br /> I C� <br /> I ST1��2IES: SQ.FEET OF EACH F <br /> LOOR: <br /> I NO. O�'$EDROOMS: GARAGE STA,LLS: A'�TACHED DETACHED <br /> ESTIMATE�CONST1tUCTTON'VALU'ATTON(exclqdihag land): � � <br /> �i I h�reby apply for a building permit�nd X ackno�vledge that tlie in�prmation above is complete azid aecurate; <br /> I �at the vvork will be in�onformaz�ce wath tl�e ordi�,ances and eodes of the City a�d witti the State Building <br /> Code;�khat I ur�derstand this is not a pe�nit and work z5 not to staut without a permit;and that the work wi11 be <br /> in�,ccordance wi�the approved plasa. <br /> APPLIC,�,NT'S SICNA �� : � � <br /> I <br /> 31 <br />