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« <br /> . � G Ci� <br /> Total Fee: $ � , � �`� � Date Received: 7-29'U3 <br /> Entered By: ,Z �� Permit#: �D�S9.S <br /> `"'�-�'.���-�`1 <br /> CITY OF O ONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OW�1ER OR CONTRACTOR <br /> (�D�l r� <br /> JOB SITE ADDRESS: a�O 1() �� [ �, .� �r ,��� Z�: <br /> NAI�iE OF OWNER: �v v I.o�- �-�J�'�I'.�''�U''�P f�PHONE: (home) �f s�- �y 7.� •-�8 Y Y <br /> I � �rw'►c <br /> . (work) �l.S'7- - "�-S j - DGt YO <br /> MAILING ADDRESS: ���U C:o((,n �r ;f� CITY: L��a- L«(� c ZIP: <br /> CO\'TRACTOR: �(- l— C�,,.S�r ;. ��`�•� PHONE:. � %.� --� 90 - t �(s � <br /> COr-TACT PERSON: �o -e �, I<e Ii�IOBILE/PAGER: S k-� c <br /> M.4ILI�i tG ADDRESS: iC� �{f F��,� r, /9-v c S � CITY: �-c ��t,�v ZIP: -fs"3.� � <br /> ST�TE LICENSE: # � ' 3 3��' �'I <br /> ARCHT'I'ECT/ENGPi 1EER: PHO�TE: <br /> NIAII..li�rG ADDRESS: CITY: ZIP: <br /> NA.�IE: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: C,� r�� �f- 'BJ�22Q ��.-r - :� S�or � �d'�,��<<'^ . <br /> STORIES: -2 SQ. FEET OF EACH F'LOOR: // �a <br /> NO. OF BEDROOMS: � j GARAGE STALLS: ATT. .x� DET. <br /> �` <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ 1v`�, ��-'�'. <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> perm.it; and that the work wilI be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: U-�- -�� DATE: � � y-�� <br /> .. <br /> NOTE! Parade �Homes even s require separate permit approval by Police Department anrl <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 � <br />