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SEP.09'2002 09:42 6127229754 GARLOCK FRENCH ROOFING #7135 P.002/002 <br /> Tot�l Fee: $ ��� � �7� Date Received: ,���i _ � �, <br /> _,. <br /> � <br /> Ent.c�ed By: ��� �� Pecmit l�: � � �'�� �' <br /> CITY OF 4RON0 - STJILDING P��T �1.PPL�CATYON <br /> Ap informatfon must be svbmitted in full hegore plan review w�U be started. <br /> �a�� (please prf�tt all inforntation) - ��__� . <br /> ____---�---------- ,- ------------------- . <br /> THE APFLICANT XS: (circle one) O'9VNF�t OR N�'RACT <br /> JOB STTE A.AAIt�SS: 1°L'-{n S�no�CP�I'�, �i V�C., ZrP: 553�t ( <br /> N� 4F 4WNF�t: �'1 ''f�R.��.� �'�ONF: (lwms) ��3�`�c,5�� <br /> (work) <br /> M�r��rGann�ss, tia�+� S��e �+� c�: �wc��zr.�:Ss3q <br /> CONI'RAC�'OR: (�X�'�c,-�+CcVvc�v�. �-ou� Pr30NE: t���-�"�a-�"��°1 <br /> coi�t�ACT PrIzSON: E� hra. ' �riUBIIrrrnAGrR: <br /> MAILING ADDR�SS: � � E. ��S'�'^ �e� CI'1'�:V�n ca��uu5 ZIP: S� <br /> STA�'�E LICFNSE: #Obo 14�7 3 <br /> A3�tCH�'fECT/�NGIN�EI,t: PI�ON�: <br /> MAILING ADTJItF�SS: C�'Z'Y: Z1P: <br /> N��; RFGJ�TRATION# <br /> TYpF pF WOR�: New Addition Arrcessary St�vcture <br /> 1Y�ove Rem�d,eUAl�e�ation l..amd Alteration� <br /> PROPOSFD Wa�(describe tn detai�: �QGV( a-C� (a� �e �i Do-F �10'ft"1R �G.S�c <br /> lG�.�c � <br /> s�o�s: sQ.x�T or EAC��oo�: <br /> rro. or sEnxooM.s: G�G� STALLS: A'�'r. nET. <br /> TSTIMA'i.'F D CONS'X'RUCTION VALUATI:ON (excludi.ng land): $�,����'-4• �b <br /> I herehy apply �'oc a build.ing pe�tnu.�.and I a.clavowledge that the i.nfor,tx�ation above i.s complete and <br /> accucar�e; that the war�C will Ue in confor.mance with.the ordina�ce� en+d codes of th�e Ciry aad with <br /> the State Building Cod�e; thac I understand th.is is n.vt a petmit an�d work is n,ot to start without a <br /> �ermit; a�d t.�at the v�+ork will be in, accordance wft.� the approved, plan. <br /> APl'Lx�ANT'S SIG�iATiTRE: 1�c�.. � . �:�1�`�.� � DA,'TE: �`�l�-f�Z <br /> NOTE! Parade �jZlnes events require separate pernttt approval by Pol�ce T�epartmen�and <br /> City Cou►tcil 60 days prior to tl:e event. Non perm�tted�veRts wfll not be allr�wed. <br />