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� � i � � <br /> � - �3 ,> <br /> Total Fee: $ �j Date Received: `f� =�-� �/ <br /> Entered By: � Permit#: ft �' 3 73/ <br /> � l� � 1 <br /> CITY O �M�:ONO r r BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��-(�g � ,r^.�-�,�{� �j�C /C.� ZIP: ���-1. 1 <br /> NAME OF OWNER:�j i� �- �,���'i� �,J(���o r� PHONE: (home) �S Z-�7(-c.7�O� <br /> (work) �f S�Z- �'��i � S�'Cj:� j <br /> MAILING ADDRESS: �Q�t7g ,�,q.t,��;�,� /�,�� � CITY: Z. ZIP:_ �>/ <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 /> NAIVIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_� Land Alteration <br /> PROPOSED WORK(describe in detai�: ' -; � � <br /> � , <br /> � � , -� T ,� - � - - - <br /> I�C�Q-✓Yle�t� S�Cc��'e � <br /> STORIES: � SQ. FEET OF EACH FLOOR: %���i.cD� - /OS'b �n.d� �i.oaE- �77c.: <br /> NO. OF BEDR00�1S: �_ GARAGE STALLS: ATT. DET.� <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $� �C��� <br /> I hereby apply for a building permit and I acl:nowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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 accordan with the approved plan. <br /> c <br /> APPLICANT'S SIGNATURE: ' DATE: �L <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />