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DateReceived: <br /> DateApproved: <br /> L — <br /> Permit�: r7 �l�� <br /> CITY Or' URONO - BUII..D�TG PER�tiIIT APPLICATION <br /> AI.L livFOR1tiIATIOr'IILTST BE SLB��TT'I'ED �T�L�L BEFORE PL��1 REV�`i'�'ILL <br /> BE ST�RTED <br /> - - ----- <br /> - ---------------------------------------- <br /> -------------___------------------------------------ -- <br /> THE APPLIC:�1vT IS: (circle one) O�V�tER OR CONTRACTOR <br /> JOB SITE �DDRESS: '�`�� �C ��-�`�����' <br /> ' ZIP: ��c���� L.o <br /> N���IE OF O`�NER: ����cti�c � �c�.1.`� �c�c���o��PHO��: (home) �k��a - �����o <br /> c�;c�� (work) �'10 - �'�'� �`� <br /> MAILINGADDRESS: °���� c� c.�����CITY: Ll— ZIP:��I�, <br /> o'�o� ��-�v�=�2�L� �� , <br /> CONTRACTOR � �,.�,_ � c� �,�� � ' PHO�tE: <br /> l IpB pH ,�TE/PAGER: <br /> vIAILING ADDRESS: CITY: Z�� <br /> ' STATE LICENSE: # <br /> ARCHTTECT/ENGINEER: PHO�1E: <br /> v1AILPtGaDDRESS: CITY' ZIP' <br /> NAi�IE: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure__ <br /> Move Remodel/Alteration �---.I.�A_ltera�o�T <br /> PROPOSED�ti ORK(describe indetail): ����r���=�- 6'�-���ti e-c� r_"`}' ��"` <br /> � �c���c�v�, �''� 'l � �� _ � <br /> STORIES: _ SQ• �ET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GAR.�GE ST�LLS: ATT. DET. <br /> �ST�'1�TED CONSTRti CTION VALU�TION(eYcluding land): � (p c'� C G U ` �7 C>�v�=� � <br /> I hereby apply for a buildin� permit and I acknowled�e that the inforrnation above is complete <br /> and accurate; that the work will be in conrormance with the ordinances and codes of the Ciry <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved p�lan. � � �� <br /> �� y� DATE: <br /> APPLIC��T'S SIG�1ATiTRE: �� <br /> NOTE.' 1'arade of Homes events requi _ separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br />