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� . �`���'� � y� <br /> Total Fee: $ '� � Date Received: Jry� /- D ��- <br /> Entered By: ���,;,. k'� Permit#: �=; ��/�-j,� <br /> ti���� �i.�73 �c� -�- <br /> CITY OF O�ONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: ZD C¢YSTAC. ��t'�1� ZIP: �S� -�j(o, <br /> �R,o..ic , f-�1.�+ <br /> NAME OF OWNER: T�..� CjT�J E1•tSO� PHONE: (home)9'y2 • 2�S • O 1�0 2 <br /> (work) <br /> MAILING ADDRESS: Z� C e't$TkC. C�iC. CITY: (�,q.� ZIP: �3�e <br /> CONTRACTOR: C�-Tc ES (.��+STR.cx.T t a-► + LL C PHONE: '7(�3. ¢LB • �Co 0 <br /> CONTACTPERSON: Jot µe,���+oT MOBILE/PAGER: b�Z • g�1 • �g$a � <br /> MAILING ADDRESS: Ztao�o r]aSSt1 L�.+ CITY: �e�cArt�a•� ZIP: �537•�- <br /> STATE LICENSE: # pyG Zv2qJ°1322, <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 detai�: �.p�,a� L�E-�, �,e,-� � gt�cc� <br /> N r �t � S-T����o�--( - <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET. <br /> ra <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z I � S�� � <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 /> permit; and that the work will be in�accordance w th the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: p$ � ! 7 •D 2 <br /> NOTE! Parade of Homes even 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 />