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.• Total Fee: $ � (r Z o��� Date Received: �v- 7-C � <br /> Entered By: �� Permit#: ,�-O ,��/ <br /> � ms� <br /> �f --/�� -._� � <br /> CITY OF O ONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> _--. --- (please print all information) <br /> �:c�� �: . . � , . � <br /> ------`�----=----=r;,,K_==--�---------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) ��WNE OR CONTRACTOR <br /> , <br /> JOB SITE ADDRESS: � � �^ =-i� ��ti �_ ZIP: ��'� } <br /> NAME OF OWNER ��::��.� .r���-�-� �����-; PHONE: (home) ���2- �f`76� O 6 L� <br /> 1'�'� (work) �L ��'i ` `l'7 3-��"8'd' <br /> MAILING ADDRESS: `�� �="� �-�+ �tir CITY: -�c�,��. ZIP: ���a� <br /> �i`.J. <br /> � <br /> CONTRACTOR: �-��� �, �, ,,� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �=c�s ,. �i��� <br /> \i <br /> STORIES: � � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �3 2�� <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 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 accord.ance w' h the approved plan. <br /> �; � <br /> APPLICANT'S SIGNATURE: �\�`�:��\� � DATE: �\r1 0 ) <br /> � <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />