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-ti,�.M..w..,.. <br /> � Total Fee: $ ����` �'� Date Received: <br /> . �"ntered By: n Permit#: � t;' 1.� '1 <br /> �) � <br /> CIT� UF ORUNO - BUILDING PERMIT APPLICATION <br /> Ail information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------=--------------------------------------------------------------- <br /> THE APPLICANT IS: {circle one) WNE R COI'�TRACTOR <br /> JOB STTE ADDRESS: 3�� 4,i�!��t.'�5���. riu�- ZIP: 5 5 3�I <br /> NAME OF OWNER: �F.V/ril �e�rN.a v�/� PHONE: (home) �7 j-7 7�°f <br /> MAII.ING ADDRESS: ?j�s5 G,i 1C��► S (work) 9�' �7`,�ro <br /> � '�v cITY: _ o�a�o zIP: 9/ <br /> CONTRACTOR: t�.J�� V'uG1►��'���►r` PHONE: �I�� 7 ?� <br /> CONTACT PERSON: /tiJ MOBILE A E • �'D/-2!�� <br /> I��LING ADDRESS: �-�`'S'� �yi nh 5�aN AU�CITY: Ra�c� ZIP: yZ 5;�ql <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIp: <br /> NAME: REGISTRATION# <br /> TYPE OF WORI�: New Addition Accessory Structure <br /> Move RemodeI/Alteration� Land Alteration <br /> PROPOSED W�RK(describe in detain: F�t,�t,o+Q,� t�'c.h� � �jq�Tl� i n F, <br /> �- ���• � � ia SF.,EP�e 2 <br /> STORIES: I � � SQ. FEET OF EACH FLOOR: � s�^ S''���F. Z•�P "ZyOSf. <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATT. DET. 2 <br /> �}. � <br /> ESTIMATED CON�TR�JCTT4N VALUATION (excluding land): $ �V� <br /> T her�by apply for a building permit and I aclmowledge that the ,informatian above.is comglete and <br /> accurate; that the work wili be in conformance,with the ordinances and codes of the City and with <br /> the State Building Code; that I underst d this not a permit and work is not to start without a <br /> permit; and that the work will be in r c with the approved plan. <br /> APPLICANT`S SIGNATURE: DATE: _ L�''�-�� <br /> NOTEI Parade o,f Homes events require separate permit approval by PoZice Department and <br /> City Council 60 days prior to the event. Non permitted events will not be alt`owed. <br /> 5 <br />