Laserfiche WebLink
- - a.�i � vi v��v�cv � v 16��t!JV, I�J 4/7/��F/7o I�t.!/U � .��/�,� �(j.7c,`� <br /> Ta�� ��: � D�te ktcceived: <br /> ����a �y: p��t�: <br /> � , CITY �F �I�(�1�i0 - ��7Y�DI�1G I'���' ��L.ICAZ''tOrT <br /> , � � <br /> At� ��f��°m�tlon �nu�t be su�mitted !n full�foa�e.pl�n revaew wfll be started. <br /> •, (pyease p�at alt�rrfonr�ardon) <br /> � �.4____--- __----------------.�..___------------__•�___��._ ---------___---______ <br /> T� �l'LICAtV'1' �S: (circle one) 0'�WNER �CONTR�CTOR w <br /> Je�� s�����ss: ��o ��� �e..�..�����.�: S ..'. <br /> .. � U�� ��,�� . <br /> �: �r� oF ovv��a: ��.� . �, r-�c� �o�: �o�,�)���•y�9.a�g l <br /> 1l�ILH�iG ADD�SS: �^ CITY: (wmrk) ZIP: <br /> . � . , . <br /> eONTRA�CT(3�: �-�r��,,�,� '�,�,, Arc�c«tN PHC�RIE: (oSl- a�oy,�,�1��} <br /> . CON'rA,GT P'ER�SON: . NdOBILE/PAGEIB: <br /> ' ' M/1I�.II'�iG A�D�tESg: 19aD Coun}4Rd.0 t�,�.eS-� CITYs��11�. ZII': <br /> .�'Y'AT'� LICEAT�: k��1�98� ��� <br /> . �LCIiI'I'ECT/EATGIME��t: PH�Ai�: <br /> M,aIILII�iG AAlDR�53: �i'!'1': ZIP: - - , <br /> NAME: R�GI�TRA'TIUN#� <br /> TYd� OF 'PV(Dl4�I�: rtew Addition A�essory Strucaue <br /> �vlove Remodel/Alteratian Lancl Alteration <br /> P'I��POS�?�I�VORK(descrlbe in detai�:_ � <br /> - < . • , <br /> 5'I'��5: SQ.F'�E'T pF�ACgi FLOQ��t: � <br /> 1�1�. OF ��1��M5: ��►GE STALI.�: ATT. DET. <br /> � <br /> �'�I'IMA'T�� CO�iSTRU�TI�N V�►I.UA'I'IOM (eaccludfng lan�: � 1 — <br /> I h��t+�by apply for a buildin��tmit and I�cknowled�e th�t the information above is complete Snd <br /> aecurate; that ghe work will l�e in�onforma�nce with the ordinances and �odes of the City �nd with <br /> , ' the State Buildln� Code; that I uaderstand thas i� c�ot a permet and work is not ta start awit�out a <br /> , pea°xnit; and that tbe work v�rall be i cordance w the �pprov�d plan. <br /> �PA.Y�AA17''S SIGMA L�.�� g�A� ��� <br /> 1Vl�T'E! �a e of�nm� ev�nts r�qalre sep��ate permit approval by �ol�cs 1)epa�ent trnd <br /> �i[y �'ouncTl��days prtor to the event. 111on p��°nt�tte�l svicetts w�U�tet b� a�Yowtd <br /> Roroiun,� Ti,.�„ C,.„ �A 1 . ��Dl;f n„t_ i m:__ r . _ n� � �nmr <br />