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� S��s <br /> 7'otal Fee: � Dace},Z.ecei�ved: _ � a <br /> Entered By: Permit#: <br /> - CZT'Y dF �ROI\T4 - BUII.,DING� PEA.MIT APPLICATION i��� <br /> . - -o�j �t <br /> , _ <br /> All informatfon must be submitted in f'ull before plan review will be started. <br /> (please pri}7t ull infornuxtit�n) <br /> -�- ---------�------.._..�..��---___�-__---------��_------�----------- --=�—�-�--�----------------------�-- <br /> 7'I�E APPT.,TCAN�' IS: (circle one) O�N�R OR QNTI2ACTO�t <br /> �' i � _. <br /> JQ� S�TE AD�?RE�S: � �� I --, � �l � ��`� I I I`� I �IPt ------,- <br /> ) -j-��- � � � <br /> N?�.� �F t�'WNER: �11 �C "_�1_C; .�� PHO�'E: (home) �1���- � �� <br /> � (work) <br /> Ii�IL�rG A.DAfiESS: �r)`�`:,� �-c�r t S� �I����f.1 CI�'X: �':���i��`- - . zTP:l--.�_ <br /> CON�.'h.�,CTC?�2: � ' ,- � � �,� � Se�_PHD�E: �.�\- �^� � �_� <br /> �����---���.�;�1 L�OB EIPA��l�: �--� <br /> CQ�ITAC�'l'E12�SOi�i:��-�`�---- � IVI .,.� . <br /> l��I�-�C.Il�'G A17DR.E.SS: _ `l `, � ��TY: `�t 1�ti��.��__ZT�: �� l <br /> -- ��L �_.-_-.,.. -_�_-�- <br /> s�c�� �,ic��s�: #� �.- ���- <br /> ARCT�I'T�GT/ENGl�V"E��t: ._...T ---- _p�3(ONE: _ <br /> ��iAILL�TGr r1.DD�SS� _,...�_,_�--------.�.� ._ CITY• _� Z�'' - <br /> N��: ____ ..._------------ -- - -�----REGTS'T'R�TT+I�N'�_--- -�--�-----�--- <br /> '�YPE Q�' '�V4�Ti: Ne�v Addi�ion Accessory Structure _ <br /> Move �Remodel/A.liezation �� Land A.ltcration�_ <br /> ' \ ,� <br /> �'ROPOS�D WOI�i (describe in detai�:�'_`_�;,,��,�����'-" ��� �' � �`-'���' , <br /> STQRIES: S�, k'�ET Ul�'�:ACH F�LQ(�I7: _ _.. <br /> NO. OF BEDRQOMS: G�AR�GE S'T.'AY.,LS: ATT. __ D�T.__ _ __ <br /> EST�IATED C�NSTRUCTInN VALUATYON (excluding laudj: � �C� �'�\���_� <br /> I hereby apply for a building pernut and T acla�o+�l.edge that the information above is complete ax�d <br /> accurate; that t�'ie work�vill be in conformance with the ordinances and codes of the City and with <br /> the State Building Cade; that T understand txiis is nat a pernut and work is not to star�t withou� a <br /> permit; and th�t ih� work will be ian,�ccordan e wiih the approved plan. <br /> . , � � v� ; , 3; ,� <br /> 4P�'r.IC:�i�nT'S SIG't�'ATCTi� � r��`�` y , �"?�"-�'�DA'TE: _ 4��,�� <br /> 1�'OTEI Parade o F�Tomes events require separate permit approval by Palice Deparfinent and <br /> City Councrl 60 days prior ta the event. Non permitted events will not be allowed. <br /> ............ .......................................� � -........-- �- ��----...............-----------�-----��--��---�---��---.........._.....- -�� ...................-- ---.................... <br />