HomeMy WebLinkAbout2007-denied permit application • ._�
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8uild�ng Permit Application �t �d �
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. D�1�' Date Received: 'T 23"��
Entered By: Permit#: A/09'/.3 ,�
�Reason(s) for�nial:_ �
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� r NO -BUILDING PERMIT APPLICATION ;
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Staft:._�.,._._::: �e submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: / t� ZIP: 5��,3 g/
� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes ❑NO If yes,a special event permit is reguired with Police Department and City Council approval
� 60 days prior to dhe event. Shuttle bus service will be required unless applicant demonstrates
� d su�cient on-site parking is available. Non permitted events will not be allowed. i
i � NAME OF OWNER:J�,� q�.JA�,�e�ve / lY0/1/�PHONE: (home)
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� MAILING ADDRESS:3/� /�,7a2 s�i fl/2 t �CITY: ZIP: ,�—S�/ �
� CONTRACTOR: PHONE: — �—�/T' (�
CONTACT PERSO • u �BILE/PAGER: 1, _ O a�
� � MAILING ADDRESS: crrY: z�: ..s-s �
� STATE LICENSE: # EXPIRATION ATE:
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� ARCHITECT/ENGINEER:��j •�Z +J�PHONE: (o f�v��I -7S�S
� MAILING DRESS• CI : �� ZIP: l��,S'
�0 NAME: a REGISTRATION: #
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y TYPE OF WORK: New Home � Addition Accessory Structure
� IViove Home RemodeUAlteration(ie: Siding,Windows)
. � Any earth movement may require MCWD review and permi�s!
` � PROPOSED WORK(describe in detai�:
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'• STORIES: �_ SQ.FEET OF EACH FLOOR:�S/1��7`'/S�� / S�/.s'.5� o� �����
: � N O. O F B E D R O O M S: � G A R A G E S T A L L S: A T T A C H E D� D E T A C H E D_
� � ESTIMATED CONSTRUCTION VALUATION(excluding lanii�: $�T�. �
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I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; �
that the work will be in conformance with the ordinances and codes of the City and with the State Building �
Code;that I understand this is not a permit and work i t to start without a permit;and that the work will be
in accordance with the approved plan. ` / �
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APPLICANT S SIGN DATE: ����.�
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a. � 31 ' #
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