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HomeMy WebLinkAbout4526 Red Fox Rd - Applications/Reroof - 06/07/2012 (2)CItypF. Pb.Devdopmmt&Transpoeadion Ins � N. Q*qp Awe P O. Bm %o COM.MW%4 Phone 97f I&-2740 Fax 224f IN OVER"THEfiOUNM PERMITS ONLY Tift app}icaffon is to be used W a" f�w the fagovft paw 0* (Cbm* M that appty). ❑ Air cwWWorft l3DwwMwh {6derlor non-sh%ftmQ 0 E A M (not swvfw dw a Gas t lghter 0 cas Log a Heating Unit d Lawn 17 Moue Hams replam.m)t O Rm" 13 sewer Une 13 Phob m taic C] Ventilation O VVater Heater © Water Late E3 MOdMeIM Stove (nrtmt be EPA Certified, provide make, model and ComPh" all SMIWsbis hdbnnadon on the sokatlon. Incomplete M*kadom wM nat'be accepted. ApplIc ttion # Date�i2�. _ �2 Is this a reddemM or i projew rgfa4 ❑ commerdet If r rjgb Fanf► I] CwKWbwmf*me (&4e ta.n* aila h" l7 Duplex f] tduilifbmily (ap ftw"t) 0 Garage Ifcommeml, is t: ' O Bank l] Bar 13 Church (3 flow/motet f3 Meftl offroe O Office l] Rdan Is this b MhV'50 yaslrs or agp or more7 Y� IfM you n my na dto mwmctht wkmm w m W n If this for a del pengit;, what y�r was the buUding constnemed7 B,A*rtonenfmsvbr►p?Aft thfsayMCarbw work, IN lawm wWddw/badfflm pwBfItEg, must fist IbOell9ed plumber, g fm-tt m Afq roust Gst)k�d ekwc! L Swboaneracbom:L1sttfiem�v►y/rsrnaart�yafF[•�bs� ' Plrermser� Ogrer . I hereby admmledge that I have read ttds applkadm and Oft that the above irda TMMM i8 Mnpleta and aonett. I aM m Qm* v4th aN requkemem aortakled herein and dty a[rteranoea and state laws rr gube g bue tg oorSnrdton. I Inmw tlat a permit is not vaW umW It has bow paid and tamumd. Print Ham; min .Cei