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1J AN, 8�2007a� 1 37 PM ARD REAL ESTATE 979-721,30. 7p4cy V0. 396paGF_P. 7 <br /> °N CITY OF TRACY <br /> CQMMUKrry UpgLOPMEWT DEPARTMENT <br /> r ' SZG T107 AWdvud,Tracy,CA 95374 (2m 531 6170 [ 1 s 1."06 FAX <br /> 'BUILDING PFRMXT AFTLICATION <br /> TJX 6,rformcrtfvn on tfakioY►!J W11,be used to pro 'e ap$rr mIt j�or!h apdalioctnt's sfgrralure <br /> t, 3 Job Address ` 'L f� Suite No. <br /> Assessor's pajoel No.(AM _ Subdivision <br /> S , <br /> 2, Project Description <br /> P°MjectValuation� <br /> 3. Permit Clays: (g New p Addition n Remodel <br /> Permit Type: ❑Building p Slecsrical p?d=b'ng Si$rt <br /> i'o MP& �l�amal�tiv� p RCraaf/S�lir�g ❑Other <br /> 4. PfmpeAY OvMar s <br /> Mafiling Address ADDO �Ra�r1 <br /> Cit7f5tati +4 A) 3 Phase No, <br /> s. ocoupantlBusiness Name VACof F Pham No. <br /> G. AfCWeCVtngiAcer <br /> Address <br /> Cny�Statel ip Phone 149. <br /> 7. Contractor's Name SUbcozmoors []Yes 2L No <br /> $. ?roject MamSer's Name <br /> Maidn&Adder <br /> citylstatelvp ,•�w -- R � C,t° G.7 lxo Na. 91 — 31 <br /> 9. Lender Name <br /> Address <br /> Cfty/swtr zip <br /> APPLICANTNAME QVS AOMCA tk <br /> ADDRESS Lad <br /> CITYWA,TMIP -,-A PBONB NO. 16k (A`ld <br /> AMICANT SIGNATURE DATE 4 r p -p <br />