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Tot.�l Fee: $ , Date Received: `/ - 7��� <br /> � Entered By: Permit#: f� 3�7 <br /> CITY �F O ONO - BUII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ' (please print all information) _ _ <br /> ___ <br /> �.__ <br /> ------------------------------------------------------------ --- ---- - ----------------------= <br /> THE A.PPLICANT IS: (circle one) OWNER O�CONTRACTOR <br /> �-----__----.___- <br /> JOB SITE A.DDRESS: ��SS �D�(Nj �r_ Re. z�: <br /> �R^r1`t /��rti�,c�, <br /> NAME OF OWNER: - PHO�TE: (home) <br /> (work) <br /> l�iAILI�IG A.DDRESS: / �� � n�S ��1� CITY: o/��„_io � ZIP: <br /> CONTR.A.CTOR: � S�N�N���' Pxo�: {��2 - 3 2� -o S�y <br /> CO�ITACT PERSON: l',C,�2 L �IOBILE/PAGER: <br /> MAII�ING ADDRESS: �38 7 �fZa...�N�_ac,�l CITY: �i� C:o��rS pA�k ZIP: .�.��/Z� <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENG �NEER: PHO\rE: . <br /> MA,ILIITG A.DDRESS: CITY: Z�: <br /> N��,�: REGISTR.ATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> , n . / <br /> PROPOSED WORK (describe in detain: �'��/C� � k'��o�'� �r���<6 / C.,o��RI�GE� i�c���6� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATT�. � DET. � � :- - �� - -: .-_ <br /> ESTII�i LATED CO`'STRUCTION VALUATIO\ (exclud.ing land): S ��, b�v. <br /> I hereby apply for a buildin�permit and I acknowledje that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Buildin? 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 /> � <br /> ` `C-.._._ DATE: �� � Z- ca 1 <br /> A.PPLICANT'S SIGNATURE: — <br /> 1�'OTE! Parade o 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 altowed. <br /> I <br />