Laserfiche WebLink
�t�c�iv�� <br /> JUN 2 3 2005 �� <br /> � �__ � _c� .- ciT� c�� �- �c� �� ,. <br /> Total Fee: $ �.��{� � DateReceived: � <br /> ' R"; -- � ��, _�� '� � % - . � Permit#: In(2�1 <br /> 0 <br /> � ,, ONO - BUILDING PERMIT APPLICATION <br /> , <br /> � ust be submrtted in full before plan review will be started. <br /> ��� �, � ` <br /> _ (please print all information) <br /> ( �J)� 1 <br /> / ' '__________________________________________________�_______'____________________-------- <br /> 1 <br /> .._._.._._.�.-'-._.___� <br /> THr, h._ (circle one) OWNER OR ONTRACTOR� <br /> ------ <br /> JOB S�TE�D�Ss: ���-�s �i���.�.� A�� Z�: �s3�� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, a specia!event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be rega�ired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events wiA not be allowed. <br /> 7 <br /> NAME OF OWNER: � �'�J �- �)�'�!�('�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��(���(�� � PHONE: - � <br /> CONTACT PERSON: S MOBILE/PAGER: ?(,3 - ��.=3-t��2� <br /> MAILINGADDRESS: /(.��„� ���'`� �/,� /�'''�,�.U� CITY: j� � �� ZIP: � <br /> STATE LICENSE: # EXPIRATION ATE: <br /> ARCHITECT/ENGINEER: � �� � `, PHONE: ���"�:7�I-��� <br /> MAILING ADDRESS: S�k;��, Q�u.:'` �1 CITY: /l7-',1,1��p..i,�7 ZIP: 5�;5� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure � <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: ��5�f�.�� r`��1,��f,1G�S (�/1 �X�=�''�'1�/l� <br /> W�^e SS ' tij�'S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� G' �', <br /> ��� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> + <br /> APPLICANT'S SIGNATURE: /� DATE: ��r� <br /> 31 <br />