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� . � T � � <br /> - . -.,_ ___"__ _ ___. ' -. �. _-L1I� <br /> - _:::�'lr:3 .- :""r`i'i17777Z' <br /> �'��^� =1� ��:.f��i€� - ��.+��,�Ij'v�� P�R�IiT APPLICATI4N <br /> °1.' c:z!'::r:;:�t::��: :�ust be submitted in full before nlan review will be started, <br /> (�ile�se print all inform�tionj <br /> -- / -____. <br /> i a� �i'�-i.ii,ri��i i�: �ciTcie���j 1)m4%NER OR';CONTRACTOR `� <br /> � ._� <br /> Jo$srr������ss: 'i 3c� Lox -+-,h�,� 'r,a zlr� `�� ���: <br /> Will #his be a P�rade of Homes, Remodelers Showcase Home or other Dispiay Home:' <br /> j_� Yes ��fl If y'�s, a apecia!e�-e�pt permit is required wi[h P�lice Department and City Counci!approval <br /> h0 davs prior to the euent. Shuttle hus.�en�ice will be reaurred unless applicant demonstrntes <br /> suffreient on-site parking is available_ r'�/on-permitted eventr will not be allowed <br /> NAMEOFO�'NEI�:(�,t���S =; l�� n �V ������-��•�1+;� PHQNE: (home) i�� �y��-�2c.-/ <br /> (wor�)(�>I Z 7��'�G�:`� <br /> �VIAILING ADDRESS: `',��, C'_`x �—�a�'�,� ',�i'� CTTY: C;:�,J c ZTP: �,a' � - <br /> CON'I'RACTOR: �F�1 1�� C.��` ?�;���'����i PHONE: ��:5 L b�i`� ` ��1�7� <br /> CONTAC`�'PE�tSfl�1: iv'�i I�� kf r��_�.,�� MOBI�,�IPAGER: �-�( 3�]'(�� l� <br /> ?'VIAILit'+T�G ADD,R�SS.1►I(,� L�i�►�v����� �r�� CITY: '�:-�:.��� ►�t�, �,Z � : ���f`�� <br /> STATE LICENSE: # ��'-��c y�$' EXPIR�TION DATE: ' / Z�,�; <br /> ARCHITEC'T'/ENGINE�R: PHONE: <br /> 1JIAILiNG ADDi�SS: CITY: ZIP: <br /> NAME: R�GI�'I'I�A�IO1V: # <br /> TYPE OF �(JIZK: �ew Addi#�on A��ssc��sr Structure <br /> �Vlove Horne Reznodel�Alteration L� <br /> PRflPiDSE���D�K{describein rieruil�:M�S�z� `�jAnd _ ��LP�.�i� E.XI S'i i►ly'Ti ���� <br /> L--C���I` ��/�.L ��i 1 f V - 1/���1 �1..L. l�I V.l l�1/�y �V/`l�� �/�l-1 w��Sl� /�� � �yl(: '�r�ITP4�;L�.'��7�1� <br /> STOI�IES: SQ,FEE'�'OF�ACH FI,O�R: <br /> �O. OF BEDR+D+OIVIS: GARA+GE STALLS: ATTACHED DE'TACHED <br /> ESTIMATED C�1�STRUCTION YAL[dATION{excluding land): $ ,��, oz:z�.. e� <br /> I hereb��apply for a buiiding per�nit and I acknowledge ti�at the information above is complete and accurate; <br /> ._iai ine worit r�°i�i� in confonnancc with the ondin�nces and cades ofthe City and with ihe State Building <br /> Code_that I understaaid t,his is not a�ea�rr�it and worlc is not to start without a permit;and that the work will be <br /> in accordance�vith the apprflved plan. <br /> APPLICAI�+TT'S S�G�ATURE;/ ���t , DATE; ,'� r���. �Z�� <br /> ✓� <br />