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I!i <br /> E' <br /> City of a��ptkt <br /> Maataca� ,; <br /> Manteca <br /> Building Safety <br /> 1001 W Center Street <br /> Manteca,CA 95337 <br /> 209.456.8500 fax 209.923.8955 <br /> BUILDING PERMIT REISSUANCE REQUEST <br /> Please complete and return this form.The Building Safety Division will return it to you with a reply. <br /> DATE: 31S;-"/ozb BUILDING PERMIT#: o90k`� f ? <br /> JOB SITE ADDRESS: G2(lFAS �lr-- <br /> ij <br /> I would like to have my previously expired building permit reissued for the following reason: <br /> C-X `N;�tL r t /i r (rtl�,`t lt,'lcGtf . D� <br /> �f <br /> Time needed to complete the project: /Jcc y E <br /> (Cannot Exceed 180 Days) <br /> or`c�t?7 `.7Pc rifj j ( tlttbU�D(Qt?t SxtfC, <br /> PROPERTY OWNER(Please Print) CONT_&AcrOR(Please Print) <br /> o <br /> I <br /> SIGNATURE SIGNATURE ?'E <br /> MAILING ADDRESS:_ 2� r aD <} �} _;. <br /> PHONE NUMBER: c -S ' `-7`, <br /> THIS PORTION TO BE COMPLETED BY CITY STAFF ' <br /> APPROVED: <br /> REISSUANCE EXPIRATION DATE: <br /> COMMENTS: <br /> t' <br /> DENIED: REASON: <br /> BUILDING OFFICIAL'S SIGNATURE: C Q W� lj t/�C�IL DATE-. !11. �2 <br /> PROCESSED BY:_J er n i �a_mexm a h� DATE: 131 1-0�0 <br /> 5.32 Building Perni t Reissuance Request Form <br /> Pagel of <br />