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. � Total Fee: $ � � �-= �� Date Received: �� �' '�d��� <br /> Entered By: � Permit#: E/ C�/C�:'� <br /> �,, <br /> _1��'=,-CI ��-' � (J <br /> CITY OF OKONO - BUILDING PERMIT 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�-Q�VNER OR CONTRACTOR <br /> .TOB SITE ADDRESS: �1/�'� Ci yys`%�� t�.� l':.� ZIP: s`J'� � / <br /> NAME OF OWNER: /���/L �2�f'��--�- PHONE: (home) S.r� si 7i 75�� <br /> (work) <br /> MAILING ADDRESS: 31��' C.� -s%-�<<�� ,�CITY: ��-�- �_ ;.y ZIP: s�-�7/ <br /> CONTRACTOR: L-�i'1/t/i C c� ✓-) PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �_ Land Alteration <br /> PROPOSED WORK(describe in detain: ����,/���- �-;�.�.,,.���:�,,� «.,n,� �K�� <br /> �— "'_ S <br /> ��L�•,� � �.�� �_.c-���c.� � �x� <br /> _ ` <br /> STORIES: SQ. FEET OF EACH FLOOR: -''�! <br /> �-'" <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. �'�'. �, r� �� <br /> _, `k-� �;� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): � { '�- , �' 1 <br /> ,�-;�'� <br /> I hereby apply for a building permit and I acknowledge that the informati above ' mplete 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 /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATUREt'7�<.- ,i��-«-�--_ DATE: � 1�'�L. <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />