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� <br /> CITY OF OP.ONO - BIIILDING PERMIT APPLICATION <br /> i <br /> Total Fee: $ ����C i Date Received: ,,�`/(�/� � <br /> Date Approved: <br /> Entered By: ' ;��/ <br /> Permi t�: l�5'�/ <br /> ALL INFORMATION MIIST BS SIIBMITTBD IN FDLL BEFORE PI,AN REVIEW WII,L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: ZIP: <br /> (work) <br /> N�ME OF aWNER: ��/L�� �%C/i����C'-� PHONE: (home) <br /> MAILING ADDRESS: ��.�� ���-��'�-�--z� �� CITY: L.!i���?-r-� ZIP: <br /> � <br /> CONTRl�CTOR: PHONS: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CIZR: ZIP: <br /> g��: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORR (describe i.n detail) : � ����r� /j �.�C�',,� � �� <br /> J— <br /> STORI$S: SQ. FEET OF EACS FZOOR: <br /> NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. <br /> ' /' �� <br /> ESTIIrSATED CONSTRIICTION VALIIATION (eacluding Iand) : $ l�-t` ��'F � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the a�proved plan. • <br /> APPLICANT'S SIGNATDRE: ��Q�' DATE: � �/�n �i� <br />