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Total Fee: $ �� ;�i c;- . 3 i Date Received: 3 - a - � `' <br /> Entered By: ,� Permit #: ,.�C' �//,_„�' <br /> CITY OF O�tONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------1==-"-Y._=<--------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRA�TOR <br /> ___—�' <br /> JOB SITE ADDRESS: �'L� el� V ZIP: ss�v�� <br /> NAME OF OWNER: �eVQVI. �� I�-�e i v�e wi�w PHONE: (home) l'L� �3' s�� <br /> I �� j (work) !'ti- �j— (�il!S <br /> MAILING ADDRESS: �jQ 1 p�Y'eVt�Dv1. L?}Ihe CITY: �1,� ZIP:�� <br /> � <br /> CONTRACTOR: �►�(, I�JU16 �S PHONE: Gj!'Z� S�-SSSO <br /> CONTACT PERSON: MOBILE/P ER: 6 I'Z -�p- OS4�{- <br /> MAILING ADDRESS: CITY: �fc ZIP: k,C427 <br /> STATE LICENSE: # 'L 1 -��j� <br /> ARCHITECT/ENGINEER: SK-�IQ �;�C.T_PHONE: �I�. - !- �{I S <br /> MAILING�DRES : � ITY: ZIP: ���427 <br /> NAME: J"f�V2U, iy{�tM,ay► REGISTRATIO # 1418�}- <br /> TYPE OF WORK: New v'� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe i detai�: S� - � � wt � <br /> r � <br /> i -r <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: LL� 21?�� ; W'�(. � �0 3� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. --- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '��S . p9p. "" <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 i cor anc with the approved plan. <br /> AFi'LICANT'S SIGNATURE: 1 DATE: Z. 'Z'Z �D <br /> r <br /> i <br /> NOTE! Parade of Homes events require separate ermit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />