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NOV-28-01 10:33 AM TWIN CITY ROOFIMG T669016 P.01 <br /> �� Tocal �ee: � ��/ 7vr,� Date Received:,�__ ---_..__.._.....� <br /> E�iterecl BY: . ��. peruut�: ..,,r_ <br /> , �.��� .....,...�....._...�. <br /> <<��" C�'�''Y OF UR�NO - BTJII.,DING T A�'�'LICA'rt <br /> PER�.Vi� ON <br /> All inPormation must be submitted in full before plan review rvill be started. <br /> � (please pri�tt ull infornurtion) <br /> _......---------------------�__---_�_�-__----------�__---------------------- _._��- -------------...----------�- <br /> TH� APPLTCANT IS: (circle one) OVSfiiER O CONTRACTOR <br /> Jos sxTE annx�;ss: 1 $5(� �� �!2 � zrn: —`�3�._�_ <br /> NA..ME OF O'WI��:R: __�.�� -�.�w_._ PHO\�: (home)�� I;SOZ <br /> � (work) <br /> `r.�,u�'c�.nia�ss: ��r�r��: �_�z�:_�.:�1 <br /> u� � <br /> CO�"k'F�►CTpR: ��l__�� .�_ _ PHO�IL: �.�b <br /> CO�I'1'ACT�E�tSO�i:L�I�G.__,._... iO�YL,E/PAG��: _ <br /> ��nr,u���nD�ss: �1 lag �►� � �.. ..___--c��r�: ��� z�:�1� <br /> STAT� tICk:NSE: fi��C� 3 <br /> A�tCT�IT�4T/ENGLti�E�t: � ,._� ._. _PHO`'E: � <br /> 1��iILI.�rG A.DD �'SS: .__.._._..__.._._—.___... CITF: ZII': __ <br /> Nr1,:VrF',: __..__,,,__._..____.�� ..._._�REGISIYRAT'I4�`�,______ _.�.. � <br /> T'YPE 4�' '�vOR�i; New Addition Accessory Structure�___.�. <br /> Move __.;__._ Rornodel/Altzration� Land Alteration __. <br /> PROY4S�'-D ti'VO�i(describe in detain�,��,p�,�i ,���.� ��„�Q'� ___ <br /> ^ 2 Cc+�.�x. .aC�.��----.____..._.__.,....�_ __ ..�.._.. .... _._�.- <br /> S'�0�2IES: SQ.F�k:T U�'�ACH F7,�04Yt: _.___ <br /> NO. 4F BEDRad�ZS: ._. GAR.�GE S'�'AY,Y,S: ATT. , � D�7.�:_ � . - . <br /> EST�IA.'I'ED C0�"STRUC�'ION VALUAT'10�,' (excluding land): $ q U�Q <br /> I hereby apply for a building permit and 7 aclalo�vledge that the information above is Complete And <br /> accurate; that the work will be it1 confvrmance with the ordinances and codes of the Ciry and with <br /> �he St�te Buitding Code; that T understand this is not a permit and work is not to star�t without a <br /> permit; and that the work will be i.n accordance with the approved plan. . <br /> AFP�ICr11\T'S SiG\'aT�: DATk-: _� � a 1_,� <br /> 1�'QTE! Parade o Hr�mes events require separate permit approval by Police Department and <br /> City Caunc�160 days prior to the event, Non permitted events will not be adlowed. <br />