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7325 Silver Moon Ln - Applications/Reroof - 09/27/2011
09/26/2011 20:13 FAX 9001/004 C of Dls De�r�OMP a nt �nt Traheporeeliatu S Zet N. Coliega Ave P.O. ttmc 580 Fott C IGM CO 0=4 Phone 97"2&2740 Fax 224-6334 o R-THE-COUMMR PERMrM ONLY l This SPOWM i M is ao aria to apply J or the P�+� only (ahwk au mat apply). C3 13r ncowdng DemoObn (inbrtdr n - a metrical A brafon (not service durgq) p p Gas Log 13 Hauling Unit 13 8 hIcler O Mobile Fume repiscarnat 13 Ventilation a Wamor eater O Water ErosW 9 6ewsr Une Pho6a.MoKeia m ram oodlPeQet 810VID (must be EPA cartlfled, provide mate, model and ' eye appitoa![ML hroomplells apgicatlarte will,not be sacepba. ApOkMon # mvay Date - �ob t>i�e �ddnaee _ � r - $ are ad 17,01 �a� (labor, maba�al�, oroitq ProPft Owner Nae mAderes City 0Sri, all P t ZIP • trlsme �R ,:. ► -_ _. - i 6 _ _ "_dd"ess MAtfti"+ LVI i r1 s *WP324 Prior, C elcl Or UC Address Cftyr/Saa T-k •L 7U Y1j ZIP Z g Phone C, l I i o h -5. Z Conde 0or akyIM re Sales Tax # Afe -you paying ta>s here or blr report? Mere ©Report Sees laraaaaffa0 Are You PWn9 v4M your trust 9=unt7 Q Yes No Is this a FGGqU4WM orF3:l xview A,eridentsw G Couvrefdal if rasidaneiai, is 1t~Y Q CondQ/OowAhotne (file fan* mod) 0 Dupl®c (�eronenq C1 6erage if CMIVr %W1. la 1!» 1lar M Chu di ID tlob l G Medld ofiloe Q of ge 17 Rated Qoom(8 tl�ts le Ms this hdWft 3o 7 what wCgJVPAV 9b 19vs pw� ntp AAriyt *Aft d& _._ 01 laws BpMrll wl , triM lot ftmi ad plmb w- If Nit.`On Air, must list WFINd eb�. 311bW114�e� 1$r �n�ryn�el►lAe•OrC&yA/f'I~Lb��lo�►� � - '• .. Oft INumh�t - - Roel�r i hetbtr .I have rand fhis melon and stabs that ft above hdormaoon Is 0=111 oe and correct i agree to ooe"vft all cvMbUlad herein am day ordnprta® aid Oft lava MoMbtinq budding =ft%x90n. i lanow a palmlt is not vow It . u been pM MW beau r-- j r I 'p Pei