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J4�-li 01 11 :18 pM TWIN CITY ROOFING 7669016 _ . ,P.01 <br /> � <br /> � T�tal Fce: $ �8? 7s Date R�ceiWed: _ // D _�__ <br /> � Entcred By: ___--__..__/�r_ �r.. ��- .l� <br /> l�t � Pcrmit#; ".1.��?_�_,�1,,�,_�......_�. <br /> �P'� CITI' O�' OROi1T0 - BUILDING� P�R.��IT Al'PLICATiON <br /> All inPormation must be submitted in fu]1 before plan rev�iew wi►11 be started. <br /> (plea.se princ ull ir�farnurtian) <br /> TI� APPT,YCAN'�' �S: (circle one) OWIvER CONTRACTOR <br /> , ��3�c� <br /> JOB S�TF, AD�RESS: , �g': a,.___.._�_—_.__ <br /> N�?� OF OWIV�:R: �,��.,��.._�..l�. ._...� _ PHO\'�: (home) "I-��-�g� <br /> �, � 1 , �,^ l ` (�vork) <br /> �iAIi,�YGADU�:�.SS: C: �JJ�i �1f�„_��CI'x'Y; �ZIP:,_�� <br /> CU:�"�'lZ�CT'Olt: u ►n.Ct�t.. .I�C�_ . �PHQ�E: �51- �j�,� -(��� � <br /> CO�"cACT�E�2.S011: l-;� �� Mp�YL,E/PAG��t: _..._._ <br /> tiza�rr,n`��nnREss: ���..;r;� ►~� `' _.. .____c�: zi�: -���_l.l�- <br /> STAT.t_. 'LICk;NSE: ti�}C����.�-�J <br /> .A,R.Cf�ITF;C:7'/EtiGL'�'E�ft: _..:_...._.w �---. . I'T�ONE: _�_ .. __._w <br /> A'i.�iIL�rG�n�SS• _.� ._ __.______...._.�.._____.._ CITY: .ZIF: ^�,_ . <br /> N;�.►�•XE: . --_-_.----._.._...._ �..._._�REGTS7`R�T'ION��______ .. ____. ' <br /> T'YpE 4F '�VORK: Ne�.v Addirion Accessory Structure__.__,_ <br /> Mo�ve �_,.._.._ Remodel/Aliexation _ Land Alteration _ _._ <br /> PROP4SFD ti�0� (describe in detuil�: � _._ ;,�� �� <br /> `_'�.�,.. ��------..._._._....�_--__.� �--__. .....___.__ __ <br /> STO�IES: _ SQ.k'kET C7�`�AC�i F'LOO�t: ._.� __. ., <br /> NO, OF BEI�R401ZS: „ G�AR�,GE S'�Ax.LS: ATT. � DE7.__ � � <br /> EST�IATED CO\"STRUCTIO�i VALUATT0�1 (exclucling land): $�, , <br /> I hereby apply for a building permit and Y acknowledge that the information above is complete and <br /> accurace; that the work will be ixt conformance with the ordinaz�Ces and codes of the Ciry wd with <br /> tt,e Scace Building Code; [hat I understand this is not a permit and work is not to start withoufi a <br /> p�rmit; and that the work will be in accordance with the approved pIan. <br /> a����.ic�:`�r�S SiG��a•r�: _ � �a�: (,p �.....�___ <br /> 1�'OT'E! 1'�rade Q�'Home� events require separate permit approval by Police Deparhne�ct and <br /> Cil�► CounciX 60 days pr�or to the event. Non permitted events will not be allowed, <br />