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1730 Pecan St - Applications/Reroof - 03/19/2018
This appiftdian Is to be used to apply for the perma s only (cam an that O Air Condit Q DeftxNort (in mkw non-structural) Q ElecIrical Alteration (not service change) Q Cis Luber Q Oas Log Q Hea ft thtd 13 Lawn Sprinkler 0 Mobile dame replacement © Roofing Q Sewer Line Q Ptoto-voltaic Q Ventilation Q Water Heater a Water Line ❑ Wood/PeM Stove (must be EPA oertified, pmvide make. modal and mamdactttred. Cotter an appUmMe inf rmWon on tts, apqff=WrL lecompleft appffcahcas eM not be wwptOd Appikation 2)V6D Kf Q co Dates Faros ago w* 3ob SM Addnws r > Vahn of Cansbwcdm (labor, Prom) o. Cnl I i �5 6' $ 37.7, property owner frame I'au ►Gi V Q Jerry U011 Ad 14la► M UC # 9-I V3 C city of Pt. C,oMns Sales Tax # ^.xa� taper nwnber a /i3q�`t%1' a4 cramartars City/Statie aty/Statle Iaya' C g city/stage A-%e ZIP Phone 22-7-,5717 Phone 1 66-7- I z6 % ZIP Phone Are you Fraying taxes here or by repart? lK Mere Rpol Are you paying with your trust aavfft? O Yes Ido Is flats a r> ►trial or commerdal project? Residential ❑ Commercial Q o ❑ CwWwtmnh me (M* famay mod) If rt e+ 1. uPIeX ;K-M�uWaemlly�(aparbnent:) Q (gage Pc Q Reuel If aoimtre�to is it: 0 Bank ❑ Bar Q avoch Q Hotel/MOW Q Medical tie Q ( ❑ Restairant Q osiw ( N t p�ervaUaon Is " buf�ng 50 Y of a" or more? O Yes f No If ^ POU MOW t� tb mrX� If Uft is fa a dOMMIGn pernft whet year was the binding conducted? .rfpnbr In zgm5 )'U wy// need an asbasms aomwmnt to "ibna with this AW949dom *If lawn It P rrnat fast Gaud plumber. If fmt->i A/4 must at Lasttheo fi'ngMorQ'OfRCa"/dam # 4 G 1110dw O .r r Is Complaw I agree to Y � d,,t I have read � � and sta0e tiuR file above �etorrt Wet and oorract t.,by that a �rt d w to and city orb and � i regumbIg M not iteueti! tees been paid and damned.