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. ^ <br /> Total Fee: � �=�J j � �� �`� Date Received: �-� (��{ �� <br /> Entered By: / -/� �� Permit#: ���r O�� <br /> -- _� �.y-,�, �� 13�, /���,� <br /> . CITY OF O�ONO - B PERNIIT APPLICATIOleT <br /> � <br /> 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 OR CONTR.ACTOR <br /> JOB SITE ADDRESS: (�C���C ���� �� ��ti���� �ZIP: S S3�� <br /> NAME OF OWNER:_ �c�� 1����`�r�� � PHONE: (home) e/S���/�6- /yy� <br /> (work) <br /> �NiAII�II�'GADDRESS: G�:`l" �r+�. 1--�t�s:-��A,.1 �i'y. L���;.�,� ZIP: � SS�S� <br /> � � � <br />� �� <br /> �4' CONTRACTOR: s�,�.3�s�sa� .+�� �`.�5 PHONE: �5 z- �t'�3--t � Lf`� <br /> CONTACT PERSON: M a� ��.v�E MOBILE/PAGER�(j t a '�C�C'2��-1 � <br /> MAII.ING ADDRESS �_t�� �;x �G��S CITY: !,7..;�,L�,� ZIP: SS 3 S"c� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII,ING ADDRESS: CITY: Zg': <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ���L►��F �-x�����+—►� ����'`� � �' <br /> ` 4�� �'�-�o�Lc t..� ` Z.a.� z � ��"�� 5 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �02 , OOC� <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 �vithout a <br /> permit; and that the work will be in accord ce with the approved plan. <br /> , <br /> APPLICANT'S SIGNATURE. DATE: zS`� D <br /> NOTE! Parade�Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br />