Laserfiche WebLink
,I�i c� �.e-� <br /> l� �G�-�-ae-2--, <br /> Date Received: /% O 7 <br />(/' Bn_� Permit#: ,q-//(p0 � <br /> tONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3� 3 S ��`1 � � . � �`�' ° 7.IP: S S/3 � � <br /> r <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and City Counc°il approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> qsz -��� - i��5 <br /> NAME OF OWNER: �P �e �' �� ��' I PHONE• (home) `1��� `��� ���y s" <br /> n ��'�) <br /> MAILING ADDRESS: �S''� �`�"� r � • CITY: 0 r�� J ZIP: S'S"39 I <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �_ <br /> PROPOSED WORK(deseribe in detain: ee�u;o� S�;�c4 s-c '�r h���c� 4.-,� �`' <br /> �C ih Gy�(arM '�C.� W� �h CC�O . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan.^ <br /> � �APPLICANT'S SIGNATURE: � `'� DATE: �'� 2 Z �� <br /> 31 <br />