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. <br /> - � ,. �,� " ��� ���u <br /> Total Fee: $ ��L ` ,..,,� Date Received: <br /> Entered By: /�1 �� Permit#: � � �21 ��� <br /> y�ti���� � I�j <br /> CITY OF O��NO - BUI G PERNIIT APPLICATIOl�t <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 R CONTRACTOR <br /> JOB SITE ADDRESS: l�v� �l✓��/��c::� /� l�� r ZIP: ss,�j' �� - <br /> NAME OF OWNER: /�k�('��j' ���jN�'4 PHONE: (home) � ^�J�—��`�' <br /> (work) �� 3 -- 79 —.2�<�'� <br /> MAILING ADDRESS: - : � � � � CITY:�i��i�/rr�,q ZIP: �-�- <br /> CONTRACTOR: ' PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration� ( I�e� <br /> ��� <br /> �� �� � <br /> PROPOSED WORK(describe in detai�: � . --� � R.�.� <br /> t�c.e t 2 T e v-�� t,.�'x.s-*� (��.-+P � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 in accord vith the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: `! �� � <br /> , <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />