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HomeMy WebLinkAbout2938 Des Moines Dr - Applications/Reroof - 08/13/2014w ��&Cftyaf �o t Colons U A 4 B` ° OVER-THE-COUNTER PERMS ONLY 4?3�F• 'tilt mpp*mtkm is to be uaeet to apply for the fo Wal" pwvft only (ow" all that "py). 0 Air Conftorft 0 Dernobtion ('MW&r now$Wx" 13 EecftW Alteration (net service change) 0 Gas Lighter 0 gars Log 13 HealiV Unit ❑ Lawn Sprinkler 0 Mobde Home replacement ■ MOMS 0 Sewer•_Line . 0 Pt is C VenWahon ❑ Warr Heater 0 WaW Line 0 WoodMeflet Stove (must be EPA caerdW provide make, modal and manuf6dwer). Coamlebs all ale infomwdon on the applicatlon, kwompkge applicadow will not be accgftN - Appi7 'lW_31)3(r4 A rdbYeusea* lob Sala Addnm l Value of Got�udfon (Ww, prdit) ag�S Dn �,� tX-6 $ Z ,0 . a- sjbr / �P(opertjr Owner Name Address c,�►�� Phone tVarne Address ZIP P Phone 1316-5461-39$i Contradvr Lk # Address CUM& Zip ptmm ConirWW Oily of F66Mns Sides Tmc Are you paying faM hem or by mort? ■ Were 0 Wort �rnre�ber[rrapr�rndbyalmnoealt>rx Are you pwfiV with your trust aeatrurrt? a Yes 0 No Is tiro a ride did or a ximeeadal project? dt RWdoW 0 Cbmlrresdaf If redden K is It G Skt0e FM* De!`adand 0 Cw dclWwnlsoma (dr4e f W ate 0 DupWx 0 Muti &* (fit) 0 Garage If ommerdW., Is it 0 Bank 0 Bar 17 Ouch ❑ tidWMotd E3 Medlmd o fin 0 Otfiae E3 PAW 0 Restaurant © Other (mmW) Is tMs btddm SO years of am or more? ©Yes Oft D°)wyou iWrcgd fo aa►11 F AVAwk Aagangew ff fits is fbr a aemolithm penvA what year was the buU g construMR Jrpwfp19nyouwAFflmdanasadesars nerrttb K"Aw4go,6mwfi. 0 *If lawn qXk W jbaddbw pied', must M see+red pitnnber. It tNst-l�r�e AJC, wrist Narrrsed e(echidat►. suboonattdot�cistaxmopev�ynameortll}►af'ftQ� ' Bedrkbq. • Ihimber. MWm P40ow abet thmp*1114mv ighdom that I have read this applloWm and stabs that fbe above Im b maim! is ocrrVWbm and toned I agree to army wO al ad herein and dit ordrer�aEs aid state taws re�gridtlrtg tx, rg mnsoruclion. I tanow that a pwaft it ttal vaSd tarts 1ker�irrehas been pav aed bored. TO/TO 39Vd ONI 9NId00a a7O9 bZTOE69OL6 10:9T bTOZ/ET/80