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CITY OP ;RONO - BOI ICATION <br />Total Fee: $ n -- a to Received: <br />V � <br />kP{? to Approved: <br />y\j `� mit #: Project#: <br />Building Permit Application Req cements: <br />1. Building permit applic - to be filled out completely and signed <br />2. 2 sets of construction plans to include the following: <br />a) Floor plans; <br />b) Footing and foundation plan; <br />c) Elevations (of all sides); <br />d) Wall sections and cross sections; <br />e) Details - stairs and any special connections. <br />3. Certificate of survey with location of existing and proposed <br />structures including hardcover calculations and grading and drainage <br />plans as required. <br />4. Energy calculations - form provided. <br />5. Septic report and design if required. <br />ABOVE INFORMATION MOST HE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />---------------------------------------------- ------------ <br />'HE APPLICANT ISs (circle one) OWNER or CONTRACTOR <br />JOH SITE ADDRESS: C.;7T_A&1,,zd1 Ti EIP: SS"3 9 <br />PROPERTY IDENTIFICATION NO.: <br />.Cv • d y ,0'.,v C 0 (& n ( work ) <br />NAME OF OWNER: W &dg ,A►, /,I y .Js 5 C-, t . - 7 — PHONE s ( home ) <br />MAILING ADDRESS: /SG o Fo r CITY s 1%�,ofyzv ZIP: <br />CONTRACTOR: PHONE: <br />MAILING ADDRESS: S y� p,Qosp g2,eciy,�rD CITY: �ilJ/2,�Ti! ZIP: <br />ARCHITECTS /j/oy !2es a r, 4"1 .v 6'r_.•/�� ./sloe PHONE: <br />Sf� SL.>o <br />MAILING ADDRESS: CITY: 0;3eyAC4rC..:--,X ZIP: <br />TYPE OF WORK: New Addition Accessory Structure Move <br />Demo- Remo el/Alteration Renovate Land Alteration <br />PROPOSED USE (describe in detail): <br />STORIES: �_ SQ. FEET OF EACH FLOORS <br />NO. OF BEDROOMS:a_ GARAGE STALLS: ATT. DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9 S c;•-� <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 th�aroved plan. <br />APPLICANTS SIGNATURE: DATE: - / 5-- g8 <br />(Please fillout t�"verst this form) <br />