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, <br /> � � , <br /> � � � S� -� -� <br /> ' Total Fee: $ '1�� �7(�° b S ' <br /> ate Received: � �� (1=� <br /> Entered By: '1/L- �' , ermit #: �� (�Q, " <br /> �, 7 l J / S -t- <br /> ��;�� CITY •F �R�N� - SUILIING ? IT ArrLICATION <br /> C���- ���j � V1 ei �C�.��'Y ►'�j�� -��� �QS�:� ; <br /> ���y� 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 CONTRACTOR <br /> JOB SITE ADDRESS: �` �� � �-��r�� /��c�. ZIP: �jS�„S�' <br /> , _ y5z��5 �c?�� <br /> NAME OF OWNER: C���r�G ��'� ( r'', � pHONE: me) <br /> �+'�Y S � • (wor <br /> MAILING ADDRESS: � CIT • ZIP: <br /> CONTRACTOR: �� C���"� ('`�'( ( cJ t�.S � ' PHONE: ( 5 L � Z Z' -2 Z Z�7 <br /> CONTACT PERSON: b� r�. � �u`� �� �t MOBILE/PAGER: 4>i Z- 3 E� �i�� �% � U <br /> MAILING ADDRESS: �!l c3c� Qvz°n � a�1 u ;�J�'ITY: �l f'lc� ZIP: 5-5��� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 5���� Y�'��-�� PHONE: (��,Z,- 33`r -Zzs� <br /> MAILING ADDRESS: I�� rv t�f�`S{ s��,4� b�So�CITY: b`►�/�lS ZIP: � S�-�3 <br /> N��: ,.1, �� � �c k ( r REGISTRATION# ���'� P (h ✓1 <br /> TYPE OF WORK: New� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describ in detai�: fL�� w � c �o�c� ���+'►'►f' <br /> . 1�� �C f' N �r�r Sl,�G � l U✓1 ( v� /�t�G( ll�- � d ��.,wl, ( <br /> �r-�c. �C rv+�i-FrS'- <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��"'� F �c�q L `� �v� 1�*J� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G C' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,�5 U,-3 �I �. <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 ordin ces �,nd codes of the City and with <br /> the State Building Code; that I understand this is not a per, it az�d work is not to start without a <br /> permit; and that the work will be in ao�cordance witl�r the pproved plan. <br /> � � � <br /> APPLICANT'S SIGNATURE: �� (:������� G� DATE: ��� `.� � ' U 3 <br /> NOTE! Parade of Homes events require separate perm�j proval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />