Laserfiche WebLink
• t.,, _�''�I�t ' , � <br /> ,otal Fee: $ = Date Received: y'_ //-o� <br /> Entered By: % '� <br /> , <br /> /� �- Permit#: __�� ,i�1/ <br /> CITY�rO�(�R�NO - BUILDING PE � � z <br /> RMIT APPLICATION <br /> r �� �I� 1 All information must be submitted in full before plan review will be started. <br /> f � ,�r � l <br /> (�' .�I (please print all information) <br /> � --------------------------------------------------------- - <br /> - ------------------- - <br /> - -------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /=�c - � �' /� '/ ZIP: �;;`j <br /> i� _ � � <br /> r � , <br /> `-~`? . / <br /> NA1�1E OF O�VNER: �,,;; —=, �-� PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: �=_ ; i�;-� � � -�i/i/CITY: _- - �/7� - <br /> - /�1�: � '�j' . <br /> CONTRACTOR: � � I ' --` �� � <br /> /�� _ '�, -_ _ ;=,, �, <br /> _ _ .. . �- � � PHONE: .� - �. !� �" �, �=. <br /> CONTACT PERSON: � �-. — . MOBILE/PA,GER: � _ - <br /> MAIL�'G ADDRESS: ' -� �� s' �, , - CITY: `= <br /> ZIP: ��r�� ; <br /> STATE LICENSE: # f_`�=,�/ - - <br /> ARCHITECT/ENGTivEER � �-. �� ; /� , . - <br /> - PHO�: '�- ;. ,., .��<.,,,, <br /> nIAILL\�G ADDRESS: i .. - ,. �' _ CITY: !�,- .::, <br /> � ,. ZIP: <br /> NA1�IE: � ;';,,r,. _ -�-. %`.- - � REGISTRATION# <br /> TYPE OF `VORK: New � Addition � Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROP WORK (describe in detai�: � - � � <br /> - /��tJ 1 "-1 D <br /> STORIES: -� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> ESTI'�i IATED CONSTRUCTION VALUATION (excluding land : � T . I �Z.��� <br /> ) $ � -�-�-�� <br /> I hereby apply for a building permit and I acknowled�e 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 with the approved plan. <br /> / �,; <br /> APPLICAIVT'S SIGNATURE• , � ,- '' '�' - <br /> ;�� - - - DATE: i-;=�� /�% .L'_ _ .. <br /> NOTE! Parade of Home.� 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 /> 9 <br />