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� ' cC . Cr , � <br /> Total Fee: $ '�, � / �` DateReceived: �� ��/�c/ <br /> Entered By: ��-� T Permit#: /3� �7��� <br /> L <br /> n�'�=�% L� � �� <br /> CITY OF O ONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------- ------ ------------------ <br /> ------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ZZL� �tiT-���k� �;� (��;�� �� ZIP: '���--� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ;� No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ��;,,:,�h�=�..�+��.�-���.,,�"� PHONE: (home)=�1��z -`�-+�; _ �:��'�;�) <br /> � l (work) <br /> MAILING ADDRESS• �(��-' �-��J�:-,sf'����r,, IL1� CITY: ���+-�s ZIP: ���- <br /> CONTRACTOR: ��-t � 6 'o: ,-�--� , i_:C.. PHONE:�11i2 -S�JI -`7�,�T, . �� /� r <br /> � CONTACT PERSON: I.���e-iL � ��.�:-z� MOBILE/PAGER: L-(Z- Z�-�� - l�l� <br /> MAILING ADDRESS: 6�s � �,�;,�.Q,��-� 5��.},"� CITY:�-��.�:� t�+� ZIP: �S�-ZC� <br /> STATE LICENSE: # Z-C_� � <br /> ARCHITECT/ENGINEER: ' ` �,,�� ��-��: ��.�;.� PHONE:��i,"Z- - ,��i �' �— �� <br /> MAILINGADDRESS: ���/ C���.-,�� ��� ,) ITY:���µ�; �G•���. ZIP: St�� �L <br /> NAME: 1.�1:�� ��:� �}�L.e�,�� REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: ����� � �� � � QGl1 lc.� �p � ---,�,�,�` <br /> �,Le +L�`- 'L-- Z-ti�� �f- �!L�� . '� <br /> STORIES: �� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET. <br /> ESTI�IATED CONSTRUCTION VALUATION (excluding land): $ l (-:� , '-a� L C' <br /> I hereby apply for a building pernut and I aclrnowledge that the information above is complete and accurate;that the <br /> work �vill be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a perniit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. �� / , <br /> APPLICANT'S SIGNATURE: !� (� ��-E� DATE: ��� ��� <br />