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NOV.08'2001 16:11 612�229754 GARLOCK FRENCH ROOFING #3219 P.002/004 <br /> Totat Fee: $ �sC>/ . �'S--. Dat� �cei,ved.; �Q ���..i'��� <br /> Ent�ered ��r: �i� Permi.t�: j? / <br /> � <br /> _ �`4).j,�. l�; ,�; � <br /> CI:T� 4F OR�NO - T3T.l]LnTNG T'�R.�vIIT APPx�rCAr,TT.ON <br /> �►11 inPormati�n m.ust: be suhm�fited in full before »laa revfew will be started. <br /> ��O (please print all irtforntation) <br /> -��}7/ -----------------__------- <br /> 7,Z-�A�PP�.�CANT IS: (circle orre) OWNER OR ONT}tACTOR <br /> l. 1 � n�/ I', <br /> JOB S1TE ADDRTSS: I I I.Q � V�JPS�� �t°�lIUG Ie �+� ZYP: ��� r <br /> GJ«�2-cc�.�(�,{N <br /> N� o� ov+�vEz�: ��_UUar� rxor�r: c�o�.� �z y73 sss� <br /> � �o�� <br /> 3 <br /> r�,rrr�annr�ss: J I�S I���P�'�'��le L�� c�Tx: � � zrP: <br /> C�ONT�CTOR: G�Y�Q' ��P/'�G'� �.���9 �'HUNE:C(�/o �72-7I� <br /> C4NTACT PERS�ON: ,ti:. OBII�T/PAGFIt: <br /> MA�,ZNG ADARI:SS:Z3�/ �. Z _CTTY:�5 ZTP.: ��o�o <br /> sTA� r�zcFNsr: � ��o �y23 <br /> ARCHITECT/FNGIN��R: PHO1V�: <br /> MAU�TNG AT)DR�SS: CI,1'Y: ZIP: <br /> N,ANJE: REGI�STRA'�'T.ON# <br /> �'XPE 4F'WORYS: New Addition A,ccesso�y Smictu,re <br /> 1V�oye � Remodel/Al.teration�^ Land Alterat�on <br /> P OP4SFA WORK(describe in de�atn:�P �� ' i� . � ��� � , . r/y�S'O��"yC�i�isY <br /> ��rm /� �� ' ��lc' �'k/Sfii! �'Gr /�LR� � rC�%�Yl��� ///S�`�' 1 ��/{�S- ��e-/ <br /> f�r�s��- ho-<s� �-� �- oN..�B.►s. <br /> ST4RIES: SQ. TFTT OF�A.C��FLOOR: <br /> NO. OF T3T�ARDOMS: GARAGE STALLS: AT'T. DBT. <br /> ESTIMA'I'�D CONSTRUCTION VAI��JA,TT.4N (exclu,dfng lan�d.): $a 7 _���� _ <br /> I herehy apply f.or. a 6uilding petmit and I acl�owl.edge rhac Che informati.an above is complete aod <br /> a�ccura.te; that the work will he in conforrra,ance wit,h the ordiraa�c�es and codes of th,e City and with <br /> the State Building Cod.e; thax Z undeKstan:d. tivs is uot a pe�tit an,d work is n.o[ to sta.rt wiThout a <br /> peruiit; and �h.ar.th.e wor.k will. be in. accordar��ce with the approved plan. <br /> � <br /> a�pr,xcarrr.�s sr.�rraTtr�: �-� � �Tr: 11-��'�� — <br /> NOTE! P r�of omec eveRts requfre separote permit appioval by Potice De�art�ttent and <br /> � City Council 60 days pr�or to �he event. Non penr�itYed events wfll Rot be allowsd. <br />