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. ' CITY OF '.ONO - BIIII,DING PSRMIT AF CATION <br /> �al Fee: $ 3„ Sf ��.�o Date Received: 3 �a-� - 9� <br /> � <br /> Date Approved: <br /> Entered By: � permit#: � � ( <br /> ALL INFORMATION MIIST BE SDBMITTSD IN FOI�I� BBFORE PLAN REVISW ieIII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> TSE APPLICANT IS: (circle one) OWNER o�CONTRACTOR <br /> + � �_,_�- <br /> JOB SITS ADDRESS: � ^ {' ,,�•y ' ZIP: <br /> 02 a o I '�s c�e,.�wo�dL. <br /> (work) <br /> NA1� OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> � <br /> CONTRACTOR: J � �--- PHONE: ��_� -� ���. <br /> MAILING ADDRESS: � - C� CITY: ZIP: <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remo e /Alteration Renovate Land Alteration <br /> PROPOSBD WORR (describe in detail) : U r' � ca.�,�.c� � CX. <br /> STORISS:� SQ. FEET OF EACH FLOOR: � � � _ � <br /> NO. OF BBDROOMS: �--� GARAGE STALLS: ATT.� DET. <br /> d�� <br /> BSTIMATSD CONSTRIICTION VALIIATION (eaclnding land) : $ �/V V <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the a roved plan. <br /> � 4 ��� � <br /> APPI.ICANT'S SIGNAR'ORE: DATE: � �� - . <br /> i <br /> � <br /> i <br />