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CiTY oF oRONo � 6122494616 07/15/99 14:50 � :07/10 N0:603 <br /> � Total Pee: $ ,� , �!�q g � Date Received: �'�/'S'��j'� <br /> �nCered B�: , � Pertnit�: �11 OS <br /> C�'�'Y pF q�tp�11Q - BUILDYNG PERMIT AFP�..ICATION <br /> AU fnf�c'matiorf must be submit�ed in full befdre plan revaew wiU be atarted. <br /> (please pr.fnt all Irrfotmation) <br /> 'TH£ APPL.ICANT IS: (circle one) OWN�R OR CONTRACTOR <br /> Jo8 sI'T� AUDR.Ess: 1��� �ox �-t`��T �IP: ���� <br /> NA,MC p�'OWN�R: N1Y'. �VI�C�v� T�zGM�I��-✓� PHON'E: (hame)W 4�3-3��0 <br /> (work) <br /> NiAII.ING ADDRF55: t�t 1nWeS�Wotk� Lzhe CITY: �1a�Za.� ZIP: ��3 9) <br /> CONTRA�GTOR: u�� & LuI 0 ��' 1r�G. PHONE:. (�t2 928- 92.�� <br /> CONT�ICTP��SON: z►�' � l� MOAII.E/PAGER: 91 -lo (p q�7-�1L3 <br /> MATLII�TG.A.PDRI�'.�Ss:,�521 1�1�e��� l�ve, Sa. CITY: �,-�. Lou�s zlPt���1.b- <br /> S7rA� LiC�NS�: +� 2 co 5� <br /> (�a�•� M. Avti�, �►� . � 9 Z$- 9242-� <br /> ARCHiTECT/ENGINEER: tvlakk�a►��M�K�.I� 1r-c PHONF:: 421 - `18Z5" <br /> MAILING ADDRESS: 3s i� �n y�k.c `s�' • CITY; st.�`"`� ZT�': C �'� <br /> NAME: �����e ,.C�y.� .1�v►� 1Macdo wal� ItEGISTRAT�ION# --- �1� I _ <br /> '�Xp� pF WORK: rlew Additipn � Accessory Structuxe <br /> IV1bvc Remodel/;Alteration_� X.and A,lteration� <br /> FR.QPOSED W�KK(describe in deta��: Add 2 Stor�Y �orG!►1 �0(o s.P� GX�^d �.i}G1►GK <br /> � <br /> � Pah--�Y !�D s•1� , rGk i ni S� l��(ov r, t�ned�e l 2� f_.Lao►���'�tG a y. <br /> STOR�ES: 2 sQ. FEET OF EACH FLOOIt: 1�t= 3,��99 Z�= �,4 8�1-��ues�l�t��� <br /> N0. OF BEDRO: „�, GARAf�T� STALL5: ATT, I�ET �Q�AkI-ac.ke� � <br /> F.�S'i"Il1xA,TED CONSTRUCTION VALUATION (excluding land): $ ,��( . D 0 . "� <br /> I hez�by ap�l� for a building permit and I acknowledge that the inforn�ation above is complete and <br /> aceurate; that t1�e work will be in conformance with the ordinances and codes of the City and wich <br /> the 5tate Build.i�g Codt; that I undtrstana this �s not a permit and work is not to start without � <br /> perm�t; and that che work will be in a�cor�ce with the approved plan. <br /> � <br /> APPLYCAN'Y"S SYCNATUttE: � / DATE: � � �/ <br /> �O��S! ,�g events requi�separate perm�t approval by Police Deparhnent and <br /> City �puncdl 60 days prior to t�e event. Nnrc per�mttted events w�ll nol be allowed. <br /> 5 <br />