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� _. <br /> Tota1 Fee: $ `�. � � '( �� � � Date Received: �'�-D� <br /> Entered By: �'.�� Permit#: ,��FD 7S 7/ <br /> i-il''`" �_��I� ; f�� C>�� <br /> CITY OF OKONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------- -------- ------------------------------- <br /> TI3E APPLICANT IS: (circle one) � OR CONTRACTO <br /> -- <br /> JOB SITE ADDRESS: �� �-� �C��-���Z�Yk.. l �/� ZIP: ���v�(,� <br /> �� <br /> NAME OF OWNER: -_�u�n ������r�e r ���;r-nE-� 1--�..PHONE: (home) <br /> (work)C���� - �-�-1��- lc'-1 I <br /> l�1AILING A.DDRESS::��=JC'C> �'S����'U -!'�i ������I CTTY: �'r c� n C� � ZIP:�J 3G�i� <br /> CONTRACTOR: :_ I���i n �r rc�,�er= }�-�rsr���� l_.1_L'_ PHOiVE: C�5��-`�73--(�� � <br /> C0�1'TACTPERSON:__�r-�,-nu �J�r--c�c�_-I- MOBILE/PAGER: (�;(�� -3�-(c ~ �L{��, <br /> MAILING ADDRESS:,���'o � � �� � ,- c��ce� CITY: �'rc�n t� ZIP: r� - <br /> STATE LICENSE: # 13� -��:3�'� ;�'; <br /> ARCHITECT/ENGINEER: F�I�zr�--i s ��-v�C h ,��c'f:5 PHO\rE: C�-/� -���J '�/�'r O <br /> MA.ILING ADDRESS:33 i .S�c-�,,-�c�l,�-r,�./Vc �*��o CITY: r�Tf.s , ��'1,�,' ZIP: ���i <br /> NA1�IE: T, �.c-.,� �`. �'�� `S�.►�,n_}`.JG,rr,�s REGISTRATION# a?�� (�'- G`-� � <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � i ,-�-, b �� �� %�"'c��='=-�h �fn�; - <br /> STORIES: I SQ. FEET OF EACH�I.00R: I'Y►C:_.�,� ��C"/ -- L�r'tt;t-� ���tc <br /> NO. OF BEDROOMS: ` ,�-���,-, GARAGE STALLS: ATT. � DET. <br /> � w�,.��; <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): � ��� ��%� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildina Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICAi�tT'S SIGNATURE: DATE: <br /> NO?'E! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />