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Total Fee: $ ,3 4-/a Date Received: �/3'� y <br /> Entered By: Permit#: /(o�� � <br /> � CITY OF O ONO - BZJII..DING PERMIT APPLICAT`ION � <br /> ! <br /> All information must be submitted in full before plan review will be started. . � <br /> � (please print all information) . <br /> T'� APPLICAi`'T IS: �� � (circle one) � OtiVNER R CONTRACTOR � � � <br /> 1' �' v Z�: J� �� <br /> Jos srrE �nxEss: 3 5 s� �-r �2� � l� e- 1 � <br /> NA1biE OF OS'V�'ER: Ar�. G K-•'+✓1 �r J PHONE: (home)�"?� - 01 cl ) <br /> �}�2-E-c1) (work) '� `�4 - 9�(�— <br /> MAILING ADDF•ESs: 3 s5ti1 L�-i�e��c. �� CITY: �rL�rt-O zIP: SS 3`�' ) <br /> CONfiRACTOR: �'�' PHONE: . • . <br /> CONTACTPERS0�1: � MOBILE/PAGER: . <br /> MAIL,liti'G ADDRFSS: CITY: ZIP: <br /> STATE LICEi�'SE: # � <br /> ARCHIT'ECT�El�'GIi`TEER: PHOti'E:. �� <br /> NIAII�ING ADDRESS: CTTY: ZIP: <br /> � HAME: REGISTRATION# <br /> TYPE OF ti�ORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration_ <br /> PROPOSED tiYORK(describe in detai�:�e ro� q �'a T�� <br /> STORIES: I ��= SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Z GA.RAGE STALLS: ATT. DET.X � . • . . <br /> . . a <br /> EST .11�i IATED CONSTRUCTION VALUATION(excludi.ng lan�: $ �� d� — � <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 Buildi.*�� Code; that I understand this is not a pemut and work is not to start without a <br /> permit; and th�c the work will be in accordance with ihe approved plan. <br /> DA . � Ci � <br /> APPLICANT'S SIGNA � <br /> NOTE! �arade o,�Homes events require se rate permit approval by Police Department and , <br /> � Ciiy Counci160 days prior to tke event. Non permitted events will not be allowed. <br />