Laserfiche WebLink
, Gt4;���.'��4 1�:�'^ THE �:i T'r' L"�F C!i=:UhIG r�1�-4"3-r��7 �a r <br /> CITY OF �R�N� - BIIYLDING PF�FiM1T APPL7CATION - <br /> ��:•�t�1 Fee: $�,��`- '�.� Aate Rec�ived: ����ly�y . <br /> Da�e Approveds � <br /> Er.+-.vxed By �,/�t� <br /> � Permi t�: G�7� � <br /> �T.�, 1�QRMATT�N MIIST B$ SZ78MITrSY7 IN FULL BEFORE PLA2�1' REVIEW H�I�L BE STAR�ED <br /> (See Check-off Lis� Enclo�ed) - <br /> -'��' �PPL�CANT IS: (circle one 1 �WNER dr GONTRr,CTOR <br /> �QB SITE ADDEtESS: " I,_l �-d y �; � ZIP:� `�'��`I 1 <br /> (work� <br /> 1V.r.'� �F 0�4NER: �� � � t� „L �� - `, PHONE: (home) <br /> ?ir�'.��.2NG ADURESS:��L�'��t� t a t ,��1 Y�� '�i���c- ��t� _ C�TY: I.i� z.:�- ����.t�:. ZIP s J iS.�`� � <br /> � PHONS: � �` � `��c f <br /> CGN�'RAL'TORt 1.-�� ��l r' l �z�C'�� ���'�.�I C��s��'� ��� `� ,�•;�, c�5 <br /> �. - <br /> I�1i:i��NG A.DDRESS:, L�I !� � L.�.r�� ��- � CITY: L.� ;� � c. ZIF s S���''1 J <br /> S:CATR �ICENSE: � C�C.,,L: ' }�L�'� <br /> :xc�.ZTECT/ENG2NEEFt: _, ,,r�-� �-Y :�nn „ � � > PHONE: <-1 -�CQ _� ( 2 22 <br /> xti.=�..1:�:I.Z3G ADDRSSS: .�.�i:) �A�;� T�1'_'C�, �-�''J2.� CITYS (,��c�lc,_ ?�IF:, ��?�f�l l <br /> Iv�Y��: RBG�5TRATxON � <br /> '1'"�'=� OF WOR�: New Addition Ac�essory Structure Move�, <br /> Deu:a Remo�el/Alteration_� Rendvate �and Alteration <br /> Ps?�.CPQSED WORK {describ� in detail) : <br /> , <br /> ___�_ <br /> �y�zt��8: SQ. FEST �F EACIi �LOOR: <br /> �u. CF BED�K�I4SS: GAFtAGS STATiLSS ATT. DET. <br /> �c'!'Il3A'L'FrD CONSTRIIGTIC?N VALIIATION (e=ciudixxq la�d) : $ �_;�('�'� . �,(; _ <br /> � t��rQby apply for a building permit and I acknawledge that �he infvrmativn <br /> .:� e. �. �: is complete and accura�e; that the work w�.I.T be in conformance with the <br /> ordinances and cades o� the Cf�y and with th� 5tate Building �ode; that I <br /> +�:�c:��rstand this is not a pez t and work �s not to start wi�haut a pe�mit; and <br /> �i��� the wor]t wi�� Ae in a r nce w�.th the approved p�.an. � <br /> �P3�T�":CRN�'S 32GNATQRE: I7ATE: ., <br />