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APR-24-2002 11:47AM FROM-LES JONES ROOFING 952-881-7009 T-563 P.002/002 F-34T <br /> JllI�IC'LUUI i l;�nam �I�����-���� v� vnviw -- <br /> �`�etal Pee; $,.,. " /�'� 75 __ Dar.e l�ecei�ved: t-?y���-G� - <br /> Entered By: �r��--- Permit�#: /'� US � <br /> ' �� CITX O�' OR�Na �- SU�,�ING pERMYT APPLICATION <br /> ��i , , <br /> � � <br /> I' ,�J � <br /> �'� �� A]1 informatinn must be 9ubmitted in full befare plati review will be started. <br /> ��` (pl�ase print alL informanon) • <br /> ......� _ --�...� , <br /> TI� AgpLICAN'�' IS: (circle one) OWI�TER O � ONTR.ACTOR � <br /> JOB SITE ADDI2ESS: a JOS ��aoo ZIP: �� o�� <br /> NAIVI�OF O�'VNER:�i�-- � ���-� _ -PT�ONE: (home)�'� �S�l� <br /> (�vork) <br /> 1�iAIL .l�i TCY ADDR�S3: o?J b 5 �u.�o�o CY'Y'Y:1��uf�ZL�� .�": `�3�'11 <br /> C4NT�A <br /> CT OR: �i7�,e5�oo�=i .Z,�e:._ P7r�ONE: •��a-. �8/--��� � <br /> CO3�1'rACT P�tSO�I: l,.�.5 �o�x.e.s _l�•I4BIL.E. AGER: <br /> I y I A�Il�TCx A:DURESS: �f . $ ''`- S� CITY: . n�, 2'�P: S S��-o <br /> STATE LxCENSE: # � <br /> ,pyRC�iT'EC�'JENCYI11i EER: �-�l �-. PHO�TE: , <br /> IVIAII�'�G A77DRESS: CITY: ZTP.� <br /> rraNt�: �GYsz�A,TxoN� � <br /> T'YPE OF ti'�'�R�� N�W A�.di�ion� Accessory Stru�ture ___ <br /> Move � R.emodel/Al�era�ion�C ^ Land Al��ration^____�_ <br /> � �� � <br /> PROPOSTD'�'VC)RK(describe zn detai�.��a�r c��� ��'"-� �� '✓�� -� �6'` -- <br /> 1�'►1 - <br /> ST012IES; �, SQ•��T O�'EACHFLOOR: � <br /> NO. O�' B1�AROOviS:• GAt2AG� STALLS: ATT: � DE�. � • � = - --- • •- <br /> EST1iY1A.TED CO\STRU'CTIOi�T VAL'C)'ATIO� (excludinD lan�: �� O��=v� <br /> �hereby apply for a building permit and I aclawwledge rhat the information abov� is complete and <br /> accurate; tL1aG tYie work wil.l be in confonnance vcriTh the ordiAances and codes of the Ciry a.nd widi <br /> th,� gt,ace Auildin� Code; rhat I uAders�and tbis is n.ot a permit a.nd wark xs not to stan without a <br /> permit; and that the wosk will be in acco dance ' the approved plan. , <br /> API'LICAs1��'T'S STGrNATURE: DA,TE: 1 'c� �'- du� <br /> , <br /> ND.TE! P r de f Hpme� events require separate permit approvat by Porice Depgr,tment and <br /> City Counci160 days pnor to the event, Non permitted events will not be allowed. <br />