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CITY or OFOKO “ BOILDISf APPLICATIOH <br />Total Fee: $. <br />^ I ar 4'at« Received: <br />Date Acoroved: <br />Eritercd By:PeraitI: <br />.. ___ __ I ITn TM vttt.t. BBTORS PLAH W5YIEW WILL S'! STARTED <br />all ihforwtioh must a |^«™. 'Stt Snclo.«i) _ _ _ _ _ _ _ _ _ _ _ <br />the APPLICAST IS! <cirel« cn«) CONT.JC rr■^^/ <br />. .nn«HS! ZIP. <br />M <br />jntfffi OF OWNERS <br />07/V' <br />/r. <br />hailing nrr°»<=°- S/hme CITY: <br />(vor)c) V72-VJ<^ <br />PHONE: (hctaa) ^'72-'^“^_ <br />ZIPs ___________« <br />CONTRACTOR! Pmff fnetfB^Jfin TTfi£^ <br />_____ CITY:___________________ <br />MAILING ADDRESS:________________________________ <br />STATE LICENSE: # <br />ARCHITECT/ENGIHEER : <br />mailing ADDRESS:_ <br />NAME:__________________ <br />A/oa/^PHONE: <br />CITY:ZIPs <br />registration # <br />type of WORK: New X _ Addition <br />Deao____ Remodei/Alteration_ <br />Accessory Structure_^_ Move. <br />Renovate ____ Land Alteration^ <br />PROPOSED WORK (describe In detkil) s— <br />nfij XI A=/rf\ Tfr?n ------------------------- <br />ST0RIES._/____ SQ. FRZT OF EACH reOOR!_ /&<X) <^Si ■ <br />NO. OP BEDROOMS!_ _ __ GARAGE STALLS! ATT.- - DET.^ . <br />estimated CONSTROCTIOH VALUATION (excluding land) = S-------,„„.tion <br />I hereby apply for a building Ve'*ln ccnforaance with the <br />ibo “ i^ cleplere and accurate! that riS\”e Building Code, |SrSin.ncea a'kd codea of ‘he City and «lth_^the^^St.t^^ ^ <br />^Sf^'iV^rh'ii A’ h".°\n* Icc^dAfc." with the approved plan. <br />applicant 's signature <br />DATE!i?i££^