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Application: ,,,, f) / x <br /> <br />.......... ~' ..... '~ '"- i)UILDiNG PERMIT APPLICATION <br />COMPLETE Alt ~';,,'.(; FIONS, 1 THROUGH 4 PC DATE_Z~.~..~ <br />1. JOb 0esc~ ~o~ HRB ~ DAT __ <br /> RESIDENTIAL COMMERCIAL ~ New Use of St~cDre~~::7"''-''''~ ........ <br /> <br /> rj Aiteratio~ ~ ~ ),.mol I ~ rJ Alteration O Demdltion <br /> ~ Acc~s~o~ . :-; O;~ k~r [~ Change of ~upa~ O Other <br /> <br /> 2~, Locatlo~ ~f i~tallation <br /> <br /> ~t Widlh; 1¢~, ~ t.ot Depth:/~//¢ ~ ~es: Irreg. Lot: Y~ / Corner: "'q Side <br /> Water Meter SIze' /"' Ty~ Back Flow: : ' <br /> <br />~, ContractOr I~formatlon <br /> <br /> f51 own. re¢lde, tno, ~ .... de In the mmpleted stru~, <br /> O I understand tl,~ ~ m,,~d *egister as a ~nstructlon ~ntractor if the structure is so~ or offer~ for sale before or u~n <br /> <br /> I~ l hire su~ontroo~¢~,. ~ ~'~1 hire only Su~ontraCtO~ registered with the Constmctio~ Contractor's ~. If I change my mfnd and do hire .~ ~o~rol contra~or, I will <br /> centred with ~ cO*, ,¢~Id=.?,,~ i~ r~t¢ err w h he Cons rEc on ~n factor's B~d and w mined ate y no ~ O ~ of Aurora of he <br /> <br /> I am a reo~st~,r~¢d L,..4~:le~ OR the authorized representative of a registered builder. ~.~ ~0 ~ ~/~ <br /> <br />4. Fee $che¢~e . <br /> ~ALUA~iON [~'V~:~t ~hon Schedule to determine valuati~ on ~uare <br /> <br />Permit Fee <br />Manufactured HO: ~:~ <br /> <br />Mechanical <br />Plumbing " <br />EIectric~l ! <br /> <br />RECEIPT: <br /> <br />I hereby cedif¥ fli. a ,.hr .Y,)ve information is correct and that I have read and understand the Information Notice to Properby <br />Construction Re.4T~.~rJ ,,'.;~'..f;li~>S On the reverse side of this form. <br /> <br />Signature of AppF..:::, 4 ' <br /> <br />Plan Check ,- I ~¢'~,. ~ ' [ ":; <br /> TOTAL' '= <br /> <br /> <br />