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Dec:19-00 03: 06P P_O1 <br /> Dec-19-2000 OZ�55pm From-�i�r ur uKunu •���•-^•�• • - � � ---� --- �� <br /> . � <br /> '.' I y- D �� <br /> Total F�e: $ ��,�' �- -� Da�e�ceived: �- <br /> Entered By: ' , • Peimit#: q' � � �� <br /> -r��/l6;'�; r-�i��_� / ,%'�' -/� <br /> < < <br /> CIT'Y OF OYtONO - BUII-DI1GG PERMIT APPLICATYON <br /> All inforrnation musc be submltted in full be[ore pian re�view will be started. <br /> (please princ all tnforn►uriv�c) <br /> ___----------------------------------- --- — <br /> � AppZ,IC�T �'i: (tirtl�one) OWNE,R OR CONTR.ACTOR <br /> .�OB SITE ADDRESS: 4��� B�Ys id� Road ZIP: . S 32 3 <br /> Fermit number #P02932 . ; <br /> �"�� `�i <br /> NANI� ��O�E�; � RudyWic:klandc�.r Homes P�ONE: (hoIDe) 763-2�9192 <br /> (work) <br /> M,�,IN�,�DRE.SS: 1 �4 • CjTy: Andovc r ZIP' S 5 3 0 4 <br /> St.rc�pt: NW <br /> CONTRACTOR: ' sacn�� pK��� <br /> CONTACT PERSON; MOBILE/PAGER: <br /> MAIY�INGADDRESS• same C�� �� <br /> STA'I'E 1.XCENSE: �t 1 :3 8 8 <br /> A1ZCf�TECT/ENGINEER: P z r t i n c n F 1 a n n i n pRO�� - - ��9 <br /> ��ING�D�,�; 4797 Highway # 10 I�TY: P,rdPn EIilY.gP: <br /> N�: uo x���s�rx�,rioN� <br /> nddin a e,w deck--�ee draw <br /> TYPE OF WORK: New � Ad�iuvn Ac�tssor�S`�ucuue <br /> Move Remodel/Aluration_ Land Alter�►�on <br /> PROPOSED WORK(describe in detain: <br /> STOIZIES: SQ.FF.E'T OF EACS FLOOR: <br /> NO. OF BED1tOOMS: GARAGE STALLS: ATT- DET. <br /> ES~TIlVjATEYI CONSTRUCTYON VALU'ATI4N(eXCluding land)t $_ 3 ► 0 U U . U 0 f o r d e c k <br /> I hereby apply for a buildi�ag p�rmit and Y acloa�oa'iedSe that tl�e'�O�aaon above is complete and <br /> accurace; tbae che work will be in eonforrnance wiih che ordinances and codes of che City and with <br /> che Scace Building Code; �hs�1 vnderstaud 1�S �s �UDL a peTII�it and work is Dot to statt withou[ a <br /> potmic; and chac ctu work will be ' acwrflance with the approvcd plan. <br /> ,9 !��, l.� 1 � ,! , . 'v <br /> APPL�ICANT'S SIGNATrJRE• Ll �✓�� L��'�-���`� - DA'iT: '-- � <br /> NOTE! r events require separate Perm�r app�oval by Police Deparrment and <br /> C�y Counc�l 60 days prior 6o the event. Non permitted events will not be ellowed, <br />