Laserfiche WebLink
DateReceived: <br /> Date Approved: <br /> � Permit�: i7 �7�- <br /> CITY Or UKONO - BI�7ZDL�TG PER1tiIIT �iPPLICATION <br /> �I.L �rFORIIATIOr'1IL'�ST BE SL-B`TTTTED L�FLZL BEFORE PL�:v REVIE`V WII.L <br /> BE ST�RTED <br /> - ---------------------------------------------- <br /> --------- -- ------------------------------------------ ----- - <br /> THE �.PPLIC�`'T IS: (circle onej O�VNER OR CONTR�CTOR <br /> � \� '� ZIP: ��-��� �� � <br /> JOB SITE �DDRESS: ��� � C �-� �� <br /> v��LE OF O�VNER: C���;�,c � �cc�.� I'�c����o��PHO�`E: (home) ��� - ��c���lo <br /> c�;�.�- (work) �-'�o ' �-� 3`� <br /> l�1AILIri rG ADDRESS: ��.-c� c� c.��.vE-�ITY: Ll— ZIP:�1� <br /> aC'_G'C� �'\O��V�-=��� �� <br /> CONTRACTOR: � ��„�_ � �� �� PHONE: <br /> �IOB PH ,�TE/PAGER: <br /> ��1AILING ADDRESS: CITY: Z�: <br /> ' ST:�TE LICENSE: # <br /> ARCHITECT/ENGliYEER: PHONE: <br /> �1AIL�'G�DDRESS: CITY: Z�: <br /> �'�`IE: REGISTR�,.TION # <br /> TI'PE OF WORK: New Addition Accessory.Structure; ��. <br /> Move Remodel/Alteration �����cn�.,_''� <br /> PROPOSED`tiORK(describeindetail): �c�����=�- �-��eti e-�- ��' - �� <br /> ;,� �e,�c��, � '1 ` " <br /> STORIES: SQ. FEET OF E�CH FLOOR: <br /> NO. OF BEDROOtiIS: G�,R.�,GE ST1ii,LS: ATT. DET. <br /> 7 <br /> EST��I�.TED CONSTRLrCTIOti�'ALL���TION(escludin�land): � (� �'� C C O - '� ��'� �c� • <br /> I hereby apply for a buildin� permit and I acknowledQe that the inforr�ation above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Buildin� Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that che work will be in accordance �vith the approved p�an. � � �� <br /> :�,PPLIC:��1T'S SIG�TATLTRE: �t , �,_ 1b�--� DATE: -- �' <br /> � <br /> NOTE.' Parade of Homes events requi e separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. ��'on permitted events will not be allowed. <br />