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Tota1 ree: � �•a« �.��.,�1•�u.• <br /> ` i�� Pervlit#: ��- <br /> Entered By: �� -�� ___.._..�_.�.:� ��:-�-�_.�� <br /> � . <br /> ,, ; � <br /> � CYT'Y OF��jR4N0 - BUILDING P�R�IT A�'PLICATIO�� L'-� �� <br /> �►���� <� _ �Z / . . <br /> �� ,4ll inFormation must be submitted in f'u]l before plan review will be started. <br /> " (pl�ase p.�r�t ull infvn�iativn) <br /> _____----- ------------ �- _ . ---- --------------------�-- <br /> _�_ .--------- �----- _�_��-------------�---------__ <br /> �'�IE �PPLYCAI�'T IS: (circle one) OWTiER 0 GON'rRACTO, <br /> JOB S�7'E �,D])RESS: �- ,�t,0 `� �,?_�� �IP: _�J��_�_._ <br /> r � � � q����r� ���►� <br /> N�:'�1E OF O'�VtiTaR: r�C�-�._ r 1�� �'_1�C�. C PHO:�'�: (home)W..�__ — <br /> ,� .. (work) <br /> _ ---......__.__... --- <br /> 1�IAILL'�'G ADD1tE.SS: �... c ���, �-_�y�IT�': _ , ; � �L1P:.-------------- <br /> - � ,, <br /> CO'.4"j:'kZ�(:'I'dR: � �rZ..CL�`1G��it��- --�, _ _PI3,4\'E: _ � � i�. ; �.Y' � <br /> COti"I'ACT R��tSON:___��_ ...._...... -�m�O�YLE/PAG��2: _ <br /> z�:--�...� _ <br /> ,l�i��1,L`'G�pRESs:�'�(�5� Itii r,� �� ..._____CTrY: _� � _._._ ��.i.1_..� <br /> STA'TF. �.IC�:NSE: t�_�t���':�����-� <br /> Al2CHIT�GT/ENGIlV���:_____��____:,�.._..____..._._._____-.__pH01`E; -----�--._._._...� <br /> 1L�,IL�'G�.DDTt�SS: _,,,.�._---�------.._.._.__..._� CI'rY: ZIF': .---------^ <br /> _.._._. .�_.---.. <br /> N��1�: REGIS'1'R.4T'I(��fi,...--- �--. —_. .__... <br /> T'YPE 4�' '��'O�� ��e�y Addicion Accessory St�uccure_,___,___�. <br /> Move Remodel/A1t�ration La.nd Alterdtion ,�.___. <br /> --�--- '� � �1 ��Q. �..�/� <br /> ti�0� describe in detain: _� ��U .��Z t�"� . � <br /> P12UPdS'ED ( �----��._ <br /> ST012IES: � S�. k�:ET OF'�:AC�-I FLOQ�t: ____..--_ --------------...—_____r-�. <br /> I�TO. 0�' B�DRQOM�: ____--- GAR�iGE S'TAY.LS: ATT. ._ llET..._-- _ <br /> �r ,-� <br /> F.ST��IATED CO�5TRUC'�'ION VALUATY0�1 (exc►uding land): � � � <br /> I hereby apply for a buildi�� permit and I acl�owledge th a��0�a tcode sof th� Citypancl �th <br /> accurace; tk!ac the work will be in con.formance w�ch the o <br /> L5e State Building Code; that T understand this is not a permit and work is not to starc wi�iout a <br /> permit; and that ihe work will be in ecordance with the approved plan. <br /> - , � � I <br /> �,.PY�IC��`T'S SIGti'.�'I'�JRE: � --- - - <br /> D az�: __ _ .� <br /> h'OTE! P r��Flr� ies events require separate permit approval by Palice Depar�inent and <br /> Cit� Council 64 days prfar to the event. Non permitted evenrs will not be allowed. <br />