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C T RONO 612249461 06/14/99 11 :18 <br /> .07/10 N0:982 <br /> taI Fee: q0 17. 1 7 Date Received: <br /> tered By: Permit#: <br /> CITY OROibebmitted <br /> BUILD `X' APPLICATION <br /> All Informs n must in bet a plan review will be start . <br /> ee prlit a o ion) <br /> G - -------. _---------------'--_--------_APPLICANT ane) U R CONTRACTOR <br /> JB SITE ADDR : Y2 b Tcw k4 w.¢ Zip; S-9 3S'L <br /> i <br /> OF OWNER PHONE: (home) <br /> "DRIELS <br /> (work) <br /> ILING' ZIP: <br /> CONTRACTOR: ` aL •�+ t, L_n•�S PHONE: G/z. _ y73 -/Z3/ <br /> CONTACT PERSON L �.. rt.wi ILE/PAGER: qj q--o 513 <br /> { ILING ADD 3 E. walk ITY: Wkz ZIP: sS'J 9/ <br /> TATE LICENSE: ' t <br /> ON r <br /> AR CHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESSS: ITY: _ ZIP: <br /> GISTRATION# <br /> YPE OF WORK: New Additi _ Accessory Structure <br /> Move _ YRemodel/Alteration Land Alteration <br /> ti ROPOSED WORK(describe inidetail): /2a�_- �___8 <br /> dd-.,,,;9 . . 3 rR:STORIES: SQ. FEET OF EA NO. OF BEDROOMS: GARAGE . _14 _ DET. <br /> i <br /> STIMATED CONSTRUCTION VALUATIOI'� (excl�hng land): $ 2 <br /> ereby apply for a building per t and I acknow ge t t the information above is complete and <br /> urate; that the work will be in nformance w' the inances and codes of the City and with <br /> State Building Code; that I rstand this is t rmit and work is not to start without a <br /> rmit; and that the work will in accordance ith approved plan. <br /> LICANT'S SI4NATURE. AA, DATE: <br /> T pp ev requlre se t approval by Police Department and <br /> Councll 60 dad s prior to t event. Non- events will not be allowed. <br /> r <br /> r <br />