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. _ ._ a.a, i �. v� v�av�vv � v is�traw,� �y �l�/�LF/79 1`t.�dJ <br /> . , . L7' :'��/�d� �t�:7L, <br /> Ta��i F�: �— I���ce�ved: <br /> �tsred �y: Pernzit�: . <br /> . C�7'Y �� �ItO�� � �3IJ�DII�1C� P���' �'��,,ICA3'�ON <br /> ; - <br /> . _ ,At� ��P��m�don �►u�t �e�ubm{tted in Fult p�fore pl� revsew► wfit be st�rted. <br /> •� (please prf�at att drtfornsatlon) <br /> � e..e._o------- � - ______________..__�-__---__�.�.__-�------------�..----4_____ <br /> T� ���:ICAIm1'1' �: (cir�le orre) O�VNER OR � OPt'�'RAC'�OR------�___,______ <br /> JO� SI'I'I���I��S3: � � G ,,, <br /> � : <br /> •. P�1�I�; OF 0�7i►AtE�t: �C�,�- G�C C�.�O�.�M p�iO1VE: (�ome) <br /> (work) <br /> �IL�1'G�I��55: f __�-__�_-_CI'd'Y: ?,Yp': <br /> . � ' I <br /> . . . ' I ' � <br /> CON����,QR� RMA HOME SERVICES, INC. � ' , <br /> • �����T����: Home Depot Installed Sales ���• — �. <br /> � 3200 Cobb Galleria Pkwy.Ste. #200 �G�: <br /> ' 11+�AI�.�IOtG AII�D�g;_ Atlanta, �a 30339 �: <br /> �f�"Y'�TE �.ICEAtSIE: N 763-542-8826 <br /> --- BC-20268257 <br /> . �tCI�`T�CT/�IiTGIldE�It: p�gpi�: <br /> 11�ILII�G�U]DIt��: C�3'�: ZI�': � <br /> NA.ME: �GI�fIEtA'TI�1lT� <br /> 1'Y� Ol� 'V'yOl4�: New Addition Aocessory 3tructuts <br /> �vlove Rcmodel/t�lteratlan I.and Ait�r�tion <br /> w POS�I}V.VORK(descrrbe i►s detai�: c <br /> , <br /> � . <br /> S`T��S: S�.�E7'�F�A��i�7.00�t: <br /> P�TO. OF ��]I�Ot)�: G�PlAG� S'TA,LL5: ATT. I)ET. <br /> �TTIl�I�,'TE� ��le1STRiJCTI�N VAI:UA'1'IOM (�xcluding laiac�: � � � Q <br /> I h��reby ap�ly for a building p�rmit and I ae�cnowledge t�t the information above is eomptete snc� <br /> �ccurate; that ehe worlk will b� iaa smnfermance�with the ordinances and ¢od�s of the Ciry �nd with <br /> , ' th� State�uildin� Cade; th�t I uaderstand thns is not �permet �nd work is not ta sta�t wichout a <br /> . �ea�nit; and ehat the worlc will be i �ccordance wfth tthe �pproved pfl�n. <br /> �PLY�AN'1''S SIGNA . H�A� �j� �Q� <br /> -e-�. <br /> 141�T'E! ,�arnd- e�,�_l�o�� ev�rat� r�gr�fr� repuflate peran�t approv�!b}► �°�lic�Depar�ent cr�ad <br /> Cit�► Cer�racil 6��'ays�rrler to the event. 1�on p��m�tted sve�ct� w�lt net b��yYowed. <br /> Rorniun,� Ti+.,,. C..., 7A 1 . A7D1/ T�_. _ i m� n ... . ....,.. <br />