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• Tayal Fee: � � Date Recei�ved: _ _��. <br /> Entered By: permit#: r....��� <br /> C�T'Y OF �RON� - BUII.,DING� P�R.M�.T APPLICATION <br /> ! �x�i�@�iation must be submitted in full before plan review will be started. <br /> (pl�ase p,�i;zr ull infornzati�n} <br /> TI�'E APPLTCAN� IS: (circle one) OW?�i�R O CC3NT1tACTOR <br /> ��, `. <br /> J�� S�TE AD�?RESS: " � I .� i , zIP. ------ <br /> � <br /> NA.� OF O'WN�R: _,�`�� � { P'HO:�'E: (hame) <br /> , (work) (ol� ;�:��-=�<3-?`� 7 <br /> L G" <br /> ��.�,�Y���ar�ss: ll .� Fe�� _ : cr��T: c`�;�n� zrn:---------- <br /> CON'�.`R.�CTC?�: ���...�'.��,�:��.���� Pxa�T�: I���1 ��l�-1 �' �G� <br /> co`�rAc����o�v: _ L���.-.---- �o��Er�A���: .�__ <br /> y�a�.nv��ap�ss:__�?����� �-t .�-.-----�c�TY: `�-��,;�_zr�:.��-� l�__ <br /> s�r�� Y.�c��s�: #������ <br /> A�tCHITECT/ENG��fi: .Y.T----- —1'HO�tE: <br /> 1��1�iILL�YGr�D12ESS: _...�--------------- _ CI'rY: ZIP: _—� <br /> N.��1�• ..-.------�----- _..__—,REGTS'T�RAT'IQ�7��-- -�--�---�-�-- <br /> �'ypE Q�' '�VpR�i: Ne�v Addition Accessory 5tructure <br /> Mave �_ _ Remodel/Altezation �� Laud Alteration _ <br /> r � �: � ` �l �, R�_-� 1�C ' <br /> PROPQSED VVO�i describe in detai _� e,• � >�-�� i <br /> I <br /> STORIES: � S�. �ET O�'�ACH F�U4�t: � -- <br /> NO. OF BEDRQO�ZS: �_ CYAR4GE S'�'AY,LS: ATT. _ D�T.__ _ _ <br /> EST�IATED CONSTRUCTIQN VALUATTON �excluding laudj: �_��,� <br /> I hereby apply for a building pernut and T acl�a��.edge that the information above is complete a�d <br /> accurate; that the work �vill be in coz�.formance with the ordinances and codes of th� City azad with. <br /> che Stat� Buitding Code; that T understand this is not a permit and vvork is not to start withoufi a <br /> permit; and that th� work will be i.� accordance wiih the approved plan. <br /> � � � <br /> � <br /> A�'PT,IG�`"T'S SIGNATCT4�: , ' A'�: � 1 ,� <br /> 1�'OTE! P�rade o,f,�iTomes events reqr�ire separate permit approval by Palice Departme�tt and <br /> City Councrl 60 days prior to the event. Non permitted events will not be allowed. <br /> . ...................................................... ......... .�---�----��--- --.......------��--�--�-----�--- - �� ---��---�----�---.....__............._............... - -----............ <br />