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, '`' Total Fee: $ 3 6-�� Date Received: <br /> Entered By: Permit#: <br /> CITY OF O ONO - BUII..DING PERNIIT APPLICATIOIeT <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) �O_WNER�R CONTRACTOR <br /> JOB SITE ADDRESS: -Z y CJ � �`.�(�; � � ,/� ZIP: -S S_5� Ca <br /> �--___'_' r --, <br /> NAl�iE OF OWNER: �l �� t !� �,�_"}� ; ,,, PHONE: (home)`�S 2 ��- S�(� � <br /> �.J (work) <br /> MAILING ADDRESS: Z_�/O c ;�_� �-; ; � �; l �,, CITY: L.,,,►�� L:f� , ZIP: S S 3.S <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAl��E: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �''��_ ; �'� �, (�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST�VIATED CONSTRUCTION VALUATION (excluding land): $ ; �� , � � <br /> I hereby apply for a building permit 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 Building Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in ac rd with e approved plan. <br /> % <br /> APPLICANT'S SIGNATURE• DATE:S���— � -Z <br /> , <br /> NOTE! Parade of 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 allowed. <br />