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:'EF-i!�-'!'�_ `EI� 11 � �l .��1''I F', _ <br /> .� . � <br /> Total �ee: $_ ��:. 7 9 _ Date ��teceived:_ -- -�-- <br /> � �ntered By: _ �_ Pern�;�t #; 1G''7 rJ 9�. <br /> CITX Ok' QRONO - I3UILD�.NG P�It.�Vl1'1` El�'F�.�CATION <br /> All information txiust be. submittecl In full befurc plan revie�r� rrrill #�e started. <br /> (plec�se prij�t �ill �nforrrtntron) <br /> -----.-____.>,.__ � --------, �---_-_----..,. _..,____-___,�-_�------�__�___ <br /> THE APPI,I�'r'�.N'�' I�: (crrrle one) QVVN� O�t CON 1'R�CTdR <br /> ' z��: �' S l�SSS <br /> .TUB S�TE Abb7tESS: �� � L� �; � <br /> NA1�'IE OF OVE'I�I=,R: �.i � � _ PH�1\'E: (hofne) ( �' �� ` <br /> (�ti�orkj ��_ - � � <br /> MAILING ADDR�SS: ���� L� �� �-- cY�'�: ��xC�l s �e r .zrP:���t�5 S 5 S <br /> �c�1� <br /> r�or��; �4 � � 5'`# � C. <br /> CQNTR�,CT�R: �'�C _ _ <br /> CONTACT PERSOiti': _ MOBTi.E/P,�GER: LL - <br /> MAIL�NG ADD�;SS: � CITY: _� ZrY: � <br /> S�'ATE LICI;NSE: # v= � <br /> � <br /> ARCHITECT(F:I�,TGI�TL+'ER:,�� �`� � PHONk:: _���` ��� <br /> I�IAILING ADDRESS: GITY: ZiP: _ <br /> NANIE: � R�GISTRAT�ON# <br /> 'r'�'�k: QF '��()RK: N�w Addition �lccessory Stnicture__ � __ <br /> Move T�emociel/Alteration Land Alteratiotl __ <br /> YRC��OSEll W()�tK (desrri(��' �n cfetai�: _ -- <br /> , � � LaoR: �. d s �� _ .— <br /> ST4RI�,S: �(�. �+T.F.T OF EACH F _ � <br /> N�). r a� �Fnuc�()�IS: �_. GARACE STAl,LS: AT'l. — L�FT. -- <br /> �STJ.��ATLD COIl7STRUCTION VAIaUATION (e�cltadin� l�nd): $ <br /> I hereby ap�ly f��r a Uuildiz�g pez-�uic and I ackr►owleage th�3t ttle i�Lfurrt�ation �bove is complete 3nd <br /> accurate: that tl�e work �,v'sll Ue in c<�ntorn�ance witt� the C�t'clinanCws and �t�cles of the City and wit�� <br /> the State �3uilding Codz; that I unde�'s[�.nd tl�is is nc�t a per�7�it ainc� woi'k is not to start �vitl���ut 3 <br /> permit; and that the work wi11 be in accordance ��ith the a�pro�red lan. <br /> � rt � � � � <br /> �1P�'LICAN�"S SYGNATURE: ��''�: �- <br /> ���E! ��r�r��,f�IQ��t�'� events require separute permit crppr•oval hy Police Depct►rine�tt and <br /> City Cr�ur�ril 60 days prinr to the ei�ettt. l�Tor�perrrritted evQ�tt�� will rtat he allorved. <br /> S <br />