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Total Fee:� $ �(p 3. � � Date Received: !��//��/ <br /> Entered By: Permit#: ,�l �, ;</�y�;: <br /> , )� , 'j� ,.-7i . . . <br /> �� CITY OF O ONO - BUILDING PERNIIT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ` j c:'� f��A.� i��'�-,� �� ZIP: <br /> NAME OF OWNER: �1-�-{:) �J ,��tiY� PHOivE: (home) u���j _�S 3 � �`<`'7 <br /> (work) .�z 3 35�7- �rv� <br /> NIAII.ING ADDRESS: ��'� 5���-��'�-� ✓� . CITY:� -'j s�� ZIP: C'� J� �L <br /> �� �,,�. c_r- <br /> ��,� �.�;:�� C�.�.w�---�— � <br /> CONTRACTOR: d 4�.� G��a Q�: Sr.�,�,�� Z�;�,s PHONE: 7� �- s 5 i-� z�-�� <br /> CONTACTPERSON: (' (�,�r�1 -s 5�:��- MOBILE/PAGER: �.Z - �3 s - �: `��5 <br /> MAILING ADDRESS:�c�?s �-1'��;,xK�k,� �.N CITY: ��` •,����_ ZIP: ss u�� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHOI��: <br /> MAILING ADDRESS: CITY� Z�� <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> 7 �, - `� � <br /> PROPOSED WORK(describe in detai�: 14,�-� �������-^G�� ���rt��G2',,: I'``''""'`-� , "`-J��, <br /> _� �� �.��� S �,,��,�-- �) ' <br /> v�w w�-�-� "`` � <br /> �. i7 n.��.z � - . �-�.�: ��- � �. �'(t.U� 1��`�`C-r� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �� <br /> ESTli1�ATED CONSTRUCTION VALUATION (excluding land): �a :��=' �'���' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City 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 accordance with the approved plan. <br /> � ��� f <br /> APPLICANT'S SIGNATURE: L� ����-..���.� ���� DATE: � 3�- c'� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />