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:�: �. i <br /> Total Fee: $_ /C� �.- .� �! Date Received: -ot.�� �� , <br /> ��ntered By: r�z�i Permit#: � <br /> , _ <br /> i � <br /> , , <br /> CITY OF C)�ONO - BITILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan re�iew will be started. <br /> (please print all information) . <br /> THE APPLICAhT'I' IS: (circle one) ���YNE R CONTRACTOR� � � . �� <br /> JOB SITE ADDRESS: �/ �J S �v c� �. T/y �f--/c�✓-�� `�.'ZIP: �.� � � � / <br /> � � , <br /> � NAME OF Oti'YNER: -`�l�L.0 J�o,Tl /�U;SS C LL PH0�1E: (home) �G/�) y������ � <br /> (work) <br /> MAII,ING ADDRESS:�/�7 S�./v. -�iyc��G ���CIT"Y: G'�C? �v c. ZIP: ��;� � � / <br /> 1 <br /> co�.cTOR: ,� t`� v�� � �c��v.S i. ���a - Pxo�: � � <br /> COr�TACT PERSON: �--A r y �tc YG'�.� MOBILE/PAGER: � � � <br /> I�ZAII.liYG ADDRESS: �/�'1 �: ,/'>��..i,�o-�v , �� CIT'Y:/�7 t~�/�'L � ur��� � IP: ����i i/%�' <br /> STAT'E LICEI�TSE: # <br /> AFCHITECTlEi�'GINEER: PHONE: <br /> ;tiI�iAILLI�i tG ADDRESS: CITY: ZIP: <br /> I�'AME: REGISTRATION# <br /> TYPE OF tiVORb: New Addition Accessory Structure <br /> Move ' Remodel/Alteration X Land Alteration <br /> PROPOSED'S�ORK(describe in detai�: � C I-�'/ �i� C�C� � <br /> STORIES: SQ.k'EET OF EACH FLOOR: • - <br /> NO. OF BEDROOMS: GA�.GE STALLS: ATT. DET. <br /> � _r <br /> � �� � � <br /> EST .Il�i iAT'ED CONSTRUCTION VALUATION (excluding land): $ /�� � <br /> I hereby apply for a buildinJ permit and I aclrnowledge 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 Buildin� 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 acc dance with the approved plan. <br /> APPLICA.NT'S SIGNAT'UREr_ �?�� �����t-�- DATE: � '� `� - / � <br /> NOTE! �Parade Qf Homes evenfs require separate permit approval by Police Department and <br /> � City Counci160 days prior to the event. Non permitted events will not be allowed. <br />