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CITY OF O ONO - BOILDING PERMIT APPLICATION <br /> .Total Fee: $ - �� Date Received: ��� /� / / <br /> Date Approved: 7��- �l � <br /> Entered By: a <br /> Permit#: �� l � <br /> ALL INFORMATION MDST BE SIIBMITTED IN FOLL BEFORE PLAN REVI�W ieIILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> .�- <br /> JOB SITS ADDRESS: 02� G�- (i� �t`r' ZIP: �S � � �_ <br /> C (work)�.�.�'/S/� <br /> NAM$ OF OWNER: L-}� �" � �'G... �\ �v�C��C�\� Z PHONE: (home) ' <br /> MAIZING ADDRESS: � 7 ` uti`8.-�J �v��ITY: �(ZO�C� ZIP: � <br /> - � <br /> CONTRACTOR:� � "{" l S I/� PHONE: g�� ^.��C� <br /> � / � ,,f �i t� <br /> 'MAILING ADDRESS: I��I v �xC��(S�D'� ��C%CITY: �' K r'��ZIP: �7� / <br /> TYPE OF WORR: New DO� Addition Accessory Structure Move <br /> Demo teration Renovate Land Alteration <br /> � � o�C7x �f� � <br /> PROPOSED WORR (describe in detail) : � ✓`. � �J'O J - <br /> �c.c> � v�. �. . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STALLS: ATT. DET. . <br /> $STIMATSD CONSTROCTION VALIIATION (escluding land) : $ �v W `�. <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of t City and with the State Building Code; that I <br /> understand this is not a erm' t and work is not to start without a permit; and <br /> that the work will be in cco dance ith the approved plan. <br /> APPLICANT'S SIG1�A1'ORS: �d`�` ( I DATE: � � � / ��� <br />