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� '. <br /> Total Fee: $ Date Received: <br /> Entered By: Pernut#: <br /> CITY OF O�QNO - BUILDING PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: j��{O �� (� d ZIP: <br /> NAME OF OWNER: �,-,N-► �G�n��� PHONE: (home)�S�`�7� O�I�� <br /> (work) <br /> MAILING ADDRES5: A��C� CITY: ZIP: <br /> CONTRACTOR: ��I,� � 7 �l�D,'� PHONE: 7�0�-� 3J�( � <br /> CONTACT PERSON:�t,L,� MOBILE/PAGER: __ <br /> MAILING ADDRESS: 38 ��i���� � C�:��1 ti � ZIP: <br /> STATE LICENSE: # Zo(�� 1 S <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: r ��, �(� <br /> � <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3��� J <br /> I hereby apply for a building pernut 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 Building 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 /> APPLICANT'S SIGNA � DATE: � S�� __ <br /> NOTE! Parade of Homes even require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will nat be allowed. <br />