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'Tot�tl Pee: � v"�f/�� � Daoe lteceived: <br /> ��a ey: � ��: qy 7 � <br /> CI'I'� 4F 4RUNC� - BUILDING PERMIT AP�'LICATIDN <br /> A!1 intormAtlou must bc subml�ed!n fi�befare plap rev�ew wUl b�stae�ted. <br /> � (please pr�►u ali lrrfiQrn�vn) <br /> THE�.AP'PLICAi�IT LS: {circle orie) OWNER R C4NTRAC'TOR _,._......�.,.._...._ . <br /> soB s� �,nD�s,s: 5 owKGite Ie,�� z�: �,53� <br /> =�c P�e.s orc�4r rK ot� <br /> NAA� 4F OWN'FR: �{eru►ten�r�Cn�e�.�y Pu�� �(SPHi)1V�: (home)_�'30-2528 <br /> � (work) �3o-L�ZS <br /> MAII.Il�iG 14DDRLSS: 32� U�.SI�i K t� .S,CiTY: 0 7JF:,,�i� /j,� <br /> C0IVTRAG`r4R: P'�IOI�FE: <br /> C ONTACTPIERSON: MOBILFJPAGER: <br /> MAYI.YNGr ADDItb'S.S: CT'TY: ZIP: <br /> STATE LICENSE: �i <br /> ARCHITECTIENGII�I�.'ER: � KK'E PIIONE: 4'.3O�ZSZS <br /> MAILING ADEDR�SB: (� 5 +�t o. . S. CITY: ' ZIP: 3'�34.� <br /> NAME:, S�eve ei s � RECLSTRA Ort� ��.5lB� <br /> 1'YPE OF WOItK: New Additi�aa A�cceuot�►�tvchtt�e � <br /> Move RemodeVAhersti� Land Alteratinn�� <br /> �'R�OPQSED V�4RB(descrihe in detaily: ret��lS 'f�o ' <br /> . . . <br /> a c <br /> cov� (- . . . <br /> STORIFS: SQ.FE�'!'OF EAC�FLdOR: <br /> NO.. UF BEDROOMS: GABAG$3'TALLS: ATT. DET. <br /> ESTIMATED CO'.YS"I'RUCTIQN YAI.UATION(txcluding landj: � ��69���,� <br /> I�Y aPPly for a buildiag permit and I aclmoark�that t�e info►mation above is coroplete and <br /> accur�te;that th�wark will be in confor�manee with ti�e ardinanves and codea of the City and wlth <br /> th�c Statt Building Code; that I undereca+nd this is not a pemnit and arork is not to start withaut a <br /> pecmit; and that the wor)c will bc in ri�mce xith appravecl plan. <br /> � � <br /> AP'PLICANT'S SIGNATU�iE: � DATE: `j <br /> NOTE! �� of Homes eve,�t�n4���P��1���pPro��Y P Dtp�arlment a�d <br /> GYt�► Cosaeal 6U days prior to th�e�e�rt. Non�rsr�ilttd eruu,rr will Aot Le erlTaw�d <br /> 3 <br />