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P - 39913
�romc unknown Page: 212 Date: 8lt9l2011 1:56:06 PM Building ��ILl�ING . Permit �io.: `�°! 1 �U ( � 3�� �p��t���� Ricsin��v�� Arp�.���►�ar� R��v� �y: ✓���,� ��.�-s�2-��oa� . CITY O�F �'�LEY � �����_A�J� 1 � � 7E3-50a-�1977 FA�� � r.r��.-TivEi-i-mxx DA'CE � I7 i� YtiUR FrMAA. A17I]RESS , _ _: &ITL• A�I'lUR�SS � Tk�IS A�J„ZCA,I�TT 1S� A�O�E1�k',['iC Q�G TENANT SU13MiT A COPY OF ii'(iUTi 3TAT� .LiC��13E AND CER7IFICAI'E bF �5ZiRA.NC� P1io�E�'x'7i '�XP� Pi's�RMTT TYPE r�escR�3� warttc a�c R�F[NG Nt�ER OF SQTiAR�S e:nr. ��s�xm FROPOSED SI7.$: ' F'iiOPOSED i�iGFi'I: � Q Viay! Q A#uminum � Other _.._: . n owrr�x gcorrr�c�raR i N,aME: � au T► .�7paREsS, �a ��=' _? lvG .�.� rxor��:_��� 5?� f �+�I� NAME•_ �. L+��1�1 ��'1�T STATE LICENSE #�������F�z� ADDRES.-9ys���i� '1 � PFi01vE [�D�"�.��" �! iNGLE �''ANiCLY/1`TE'� GONSIR1SGSiC�N O Twc� FAMILYR�Ew �p�STiiuGTfON d an�oN o �nxaGFrs r1 KtafiF.MF;NT FnVt.riFt lil"I�i'.x)F o DECx a smrnrG o sa�nv� Q NE W Ht�14� Cobis'tRUG"J�t7N [f & ii'�ifAINTENANCElREPAtR ❑ ❑ FIO%TSE ONS:Y �ousE a� cr�acE O �TTA4�D Ga,itaGE �'1�E7At�D GARAGE OSoi�t a r,�;m Q Fa�acix � I24i EXi^s1ING4P�,2ritSGS �Yes Qhto 7,G�A7�ONOF �V�iDOWS 4R FQIt t�1E�7 OPENINGS-DESC1ii8S SiZB OF OT'&NiNC. C[�ANGES !� k�ES A.RE BASED ON L'aTA� JQ� VAL� Per�it Fcc P�ari Revicw Fire Surehatge Surchatgc X.icemse Surehar�e SAC Charge Curb Cut E�erow EroSian Coritrol Patk FaC Sewer .Mai12 CY�rge (iXSING TAE 1997 i1.B.0 �E SCHEDUL�) c�—�r� ►Ci A'TE�.ZIF �� f1 tttt ATN T7'f .F.. a ast��e, aes�on�cc.scna�r: I. ExistiR$ �loot PWq 2 P'opoicd fiooe pL+n 3. List o�f sC+temral ntambara #0 6e uaed FQR N& W COk737l�LUC7I�ON II+t�Z.VDiNG DEQC�. Abl]TI'l02V5. � PORCHES S[JBMIT: 1. Site PlanlStwzy ahowing thc e�clRtbRg e� azfa p,opaed pm�xr. Z� Two gels oYc�slsndi� plare 3. Esie�y Catcuiations FOR WENDOWS —PttOVIDE tI vAx.T,T� AND MAN[JF/�[:Tfl#CF. C7if:iCF.R C'Ihrw7�Vx1RW. AND �....��.�,_r' `� See Back Page for Fee Schedii1� - 65% of Buildi�g �eimit �ee � ,001 times the tat�l job valuation, � .ODdS x �'ermit Vsltiatioa �it�imuue $5.b0 ,; � � ' `�— �S.dO (State Liccnsed Reszdeat3al GontractoJra) � $2230 per SAC [Jnit (Pians to �WCC for detqmiu�on) � fi + 51i = ,l,r,,. P[ X $25= �----. .. � $450 Canscnration Flar� Re�iew � „ Fee Detec�ined by Enguzee�ing � , ^ ^ n . � !°►g�cm�nt uecessaxq C ) Non NeeessatY ( ) ,Hr� r� n,� ,�v��Anc+� Fo� ,� �s�+a¢T-rror vnt m v�t, r�ocr•.�s� I hereby appl� for a buildi� pe�z�it aztd I scknawtedge that #he iuformatio�n above is complete and, acoutat,e; ri,at tb:e work will be iu� conforma�ee with thc ordinances amd codes of thc Gity of Fr{dley a� witlt t6� Mi�zaes4ta Coristrtiction Code$: that I understas�d Sffis is not a rennir h�rt naly aa apptics.tiais far a pc�x.it and work ie bot 4.o a�a4 vvithout a�rnxi4 om �z�c; t3�at tix waaS w:11 Lw . ce yvitbi Xh+C � _OVAI.1T13PRC'�'pIt SIG A ��� �li1fE3 IEVICW 3�d 2�'(7v� Of p�" /� SI�G'NAVFURE�OF P� APTI`O �i WO � FRINT NAi� f7�.ij�+11 [�� DATE •(� �� APPR _ 11