Laserfiche WebLink
r <br /> Total Fee: ��������'�$ q y 9Cl � ���,,�r� 1/���� Date Received: �� �oL �� <br /> -. Entered By�.�! ' � - `� _ Permit#: r��, � -� �,Z c� <br /> , � �� -�C _« /����/ , , <br /> �`� r��CITY . � . �����; <br /> , � �RO�NO - UILDING PERMIT APPLICATION � � <br /> ;�� % �,,��(.i , + , � i, I . .� . ._.. _;�`,,,,,;.-� <br /> j;' I /`�All information must t�e�u�mi�ted in full before plan review will be started. <br /> ! �,V (please print all information) <br /> � �; <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: y�(v� /�071� c�✓l�c- �J7/� ZIP: ����i � <br /> l.��1�z�'� ��Y�ha� <br /> NAME OF OWNER: ���� ����� PHONE: (home)qs� LI�3— Z(o Z$ `� <br /> (work)�`�-z- Z I v �2�n <br /> MAILING ADDRESS: �.�� l�/C l�, ��,�,�� CITY: ZIP:�� <br /> (�b�7TIP <br /> CONTRACTOR: `��� ��k'�"'>�..,�,�-- PHONE: ��L Z J I� Z6 Z(� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAI�TE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move �� Remodel/Alteration Land Alteration <br /> $ROPOSED WORK (descri e in detain: vv �j<,� — �h a E'� <br /> l—vc�I- _ �� f.0 ,�,.� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1�Ub � <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 ermit and work is not to start without a <br /> permit; and that the work will be in accordance with he proved plan. <br /> APPLICANT'S SIGNATURE: DATE: `� ���� � <br /> __ , <br /> � <br /> NOTE! Parade of Somes events re ' e pa permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />