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� �� � � ��� ��1� 5���� <br /> Total Fee: $ J ��J- -� ,7 Date Received: <br /> Ente�ed By: � Permit#: �/�/ / /���� � <br /> , —� <br /> °��`� /C `� �`I�- <br /> CITY O�IrONO - 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 OR�CONTRACTOR� <br /> —_ _ - <br /> JOB SITE ADDRESS: ,�j/ 7� � ��`j pr� ,�j^ ZIP: �.5���/ <br /> O��� <br /> NAME OF OWNER: ���' -�-�G��t N ��1�i i-, PHONE: (home) �j��- �7�-!/:,� J <br /> , (work) <br /> MAILING ADDRESS: �j;7S ,�/ Sfl�� �,�'',CITY: ..c��/'ve�•i v ZIP:�/ <br /> CONTRACTOR: �:�Gfi.,v!'/ ;� Co.���-u c ; ;ci PHONE: �.j��-��'�7y5 <br /> CONTACT PERSON: � � ,�-� � MOBITL�/PAGER: q��-- ��03 <br /> MAILING ADDRESS: ' - „ � CITY: ,�j�nJ��ZIP: ,�5�!� <br /> STATE LICENSE: # ;Z FJ� ��J�'q� <br /> ARCHITECT/ENGIN�ER: �I;r�e�1��,� c�� n �,NG- PHONE: �j�2--q;��J�j�%� <br /> MAILINGADDRESS: �� �7��r � 7r,�i���/UCITY:��j�d,c�,���n ZIP: ,���1�7 <br /> NAIVIE: REGISTRATION# <br /> TYPE OF WORK: New Addition5� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � , j <br /> PROPOSED WORK(describe in detai�: ^;��f��1�� �- �f e�`�' �i'f��T� <br /> r%Lv'ic� �:'c- �a c�'�C' f� T�i�r�c'!�- . ` <br /> / <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 accordance with the approved plan. <br /> `;��/%/;-� <br /> APPLICANT'S SIGNATURE: , �' ��-���- DATE: C,�G�� �_0��2 <br /> c <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />