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� <br /> , Total Fee: $ � � �� ' � N�Date Received: .-�C `p�4'� <br /> Entered By: Permit#: ��.,�{�`� <br /> �`��— <br /> �CITY O O�NO -�BUII� <br /> DING PERNIIT APPLICATIOl� <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------� ------ ----------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �`���' /���'/ SiNoP..L 1�� ZIP: .�S'��,) / <br /> NAME OF OWNER: ^�o/�N �- -��'�°� � PHONE: (home) 5��.�- i'�/;T21� <br /> (work) G/,� - ,�3�? - ��"�Z <br /> MAILING ADDRESS• ..3`���f ��� ��'���CITY: `�i�y'�2r�:� ZIP: �5..?S'/ <br /> ' --, <br /> CONTRACTO�: -.�NN /'C ^��'��� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRE5S: CITY: ZIP: <br /> STATE LICENSE: # �j��,�r � s�b�, <br /> /J�-� ��v�t�7 ,,O o <br /> (� �T PHONE: <br /> ARCHITECT/ENGINEER:_• "�- _ <br /> MAILING ADDRF,SS:� l�-I�b �e.�'Y�.0 'Y: �,A�'-�.�-> ZIP: _S_S�,l� <br /> NAME; ���"� ��" rISTRATION#� <br /> i���e�C� <br /> ;�-c�� �:;��-�-'� <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ,/t-��-�w �o��� . i���z 1.�.:>�.1.�- �-�s.-„��= _ <br /> STORIES: '� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �`7�. & <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 w�th the approved plan. <br /> / <br /> ,�" ' <br /> APPLICANT'S SIGNATURE: �� " . DATE: � :�'c� a <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />