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�PR-12-2002 08:57 FRO�-SUBURBAN EXTERIORS E +g528818232 T-863 P.002/002 F-843 <br /> Aj�!`�L�'!Pl', U0:4D'GIII PI YW-��I I ui ���vnv ----.. .-.. <br /> , �d� <br /> Total F�e: $_ ,' � �• �`� _ Aate Recei�ved: �-- ��� � �-'��' <br /> Eatered By: �,=�-����- Permit#: r_1�c� :�S — <br /> �,�v CITY O�F ORUNO - BUIL.DIt�TG PERMIT APPI.ICATION , <br /> ti <br /> �,� <br /> All inforinat�an must be submitted in ftill before pla.n rc�view will be started. <br /> (please print�ll ir�forncarion) <br /> ..._.._-----�----..___-------------�--�,...._�------••-------------� -------- <br /> TpE AppT,zCANT IS: (c�rcde one) QWNER OR CON"TRACTOR , <br /> JU� SITE AAAR�SS; � � �� ZIP: �o <br /> , <br /> a �HONE: (ho � ?vd��/� <br /> NAME OF OW1V�R: (warl� <br /> MA]L�NG AUDRESS•���� /��G�CITY: ��,f� ZII': 3 � <br /> „ - - - <br /> CONTRACTU � P'I�O <br /> CONTACT P��SO S: �B�II•E/PA�C A; ZIP: _ <br /> < <br /> MAT.'LING ADDRES <br /> STATE LICENSE: # <br /> ARCHXT'ECTlENG1NEER: P'J30NE: <br /> 1Vtq.ILING ADDRESS- �ITY' �: ---- <br /> NAM�: ItEGISTRATION# ,,, <br /> TypE pg wp�: New � Addition Acc�ssory Snvcnue <br /> Move Remodel/AiLeration Land Altera.uon _ <br /> pg,pppSED yVORK(descri8e in detai�: _ � <br /> STORIF�S: ____�_� SQ.F�ET O�'LACH FT,OOR: <br /> NO. OF BEDROOMS: GARACrE STA�Y.LS: ATT. �,,,__ AET. <br /> �b'TIlVJATED CONS <br /> TYtUCTION VAT.VA7`ION (excludit►g land): � �d � <br /> Y hareby $pply for a building permit and I aclawwle[lge chaL tbe infornaat�n above is cou►pl�e and � <br /> accurar�; rhat 1�ne worlc will be in conforu�anc�.wirh the ordinanc�s and codes of the Ciry and wi� <br /> rhe 5rar,�8uilding Cade; �hat Y understand rhis is uuoi a permi= dWlan.� no�to start without a <br /> penait; and that the work will be in accordai1ce 'with rbe aPP P <br /> APPLYCANT'S SIGNATURE: ` DATE: `T/ 1�� <br /> NOTE! rnl�P �f H� event� require s�aparate permYt approval by Poldce Department and <br /> C�ty Counci160 days prior to the event. Nun perm�tted events witl not be aldowed. <br />