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� Ap r. 17. 2006 12: OOPM No. 0318 P. 2 <br /> J <br /> Tutal Fee: $ ��a-g� Datr Rcccived: `�-/ �- 0� <br /> Entcred By: , Permit#; _���75 7 <br /> CTTY OF 0�20N0 -BU1LDiNG PERMIT APPLTCATION <br /> All information must be submitted in full before pl�n review will be startcd. <br /> Ui/ease pr�nt a!!infowmution) <br /> -_________w�..�---------------------_�_—__�_---________---------------------------------------- <br /> TI�� APPLICANT IS: (circle vne) OWNEIt U ON'TRACTOY <br /> r06 SITE AllURESS: �So ,�.e�E.,,,✓ �o , S' L�p; S'S;SG <br /> Will this bc a Pa of Ifo�nes,Rcmodelers Showcase�lome or uthcr nisplay Hou�e? <br /> ❑Yes No /ry�s,u special eve�nl permil i,c i•gyuired with/'o���e DeJ�artr�ie�:!und C:iry Cuunci!apJ>rnval <br /> 60 day.erriur lo t/te even(, Shurlle hus sr.rvice wtll ha reyuired w�less upp/icanr d�munsfrates <br /> su�cieri!on-sile parking is uvnilahle. Nun-permit�ed�vc:nts will not bc nllowed, <br /> NAMFOFO'WNF,R; �ic'� �'i�'gr<E.v p�ONE: (home)�S.?-y76—d�69 <br /> IVIAILIN(:ADDR�;Sti: TSa �Y,e��,.. (work) <br /> � s CITY; ��e ZIP: strs� <br /> CONTRACTOIt:Tif/s,�Fir „�••,..�e.�,. f,aan L;,�.,�.�„�,�•rs PHOIVC: %S,? a777-/G 3f <br /> CONTACT PL�'RSON: �.r�T� MOBTLC/PAGET2: G�a_ 6�G _ G So G <br /> MAILINGAllDRES5: ��si s�rc�s�s.�.e ife��> CYTY; �t�Gr,�,.•�s GIP: rsr�r� <br /> STATE LIC�NSE: # ?a.�3y �6q _, EXpIR�TION Da�rr,: <br /> ARCHI1'ECTlENGINF,ER: 1'HUNE: <br /> MAILING ADDRLSS: CITY: ZIP: <br /> NAM.Ec REGISTRATION; # <br /> 1'YPE OF'W()RK: New H.ome Addition Accessory Structure <br /> Move Homc�� Remodel/Alleration(ic: Siding, mdow � <br /> PROP(ySED WOItK(deserihe in afe�ain: i.v1-�„z� �,,,,,�,,,"„s �_,,� �,q„� <br /> f�2 a� dr.-i...G S� ' <br /> STORIE5: SQ.f+r+..ET OF EACH FLOpR: <br /> NO. OF ��.DROOmS: GARAG��TALLS: ATTACHF.D i�ETACT�rp <br /> ESTIMATED CON�TRUC'I'IQN VALCIATION(excludiug Iand); $ /S�� ?SO. oc, <br /> f liereby apply for a buildi��g permit and I acknuwledge that the infonnatinn abovz is camplete and accur�te; <br /> thal the work will be iu confi�rmance with the ordinanecs and codcs of the City and with thc State Building <br /> Code;that I understai�d this is not a p�rmit aud work is not to start without a permit;�u�d ehat tl�e work wilt be <br /> in Accurdance with �he approvcd�lan. <br /> APPLYCANT'S SIGNATLTI2F,: _ ��!`�. � — _ D�TE: l / 7/�� <br /> 31 <br />