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HomeMy WebLinkAboutAddendumApp.Fillable PENCIL DRAWINGS & APPLICATIONS WILL NOT BE ACCEPTED DRAWINGS MUST BE TO SCALE AND FOLDED INFORMATION PROVIDED IS PUBLIC RECORD ADDENDUM SUBMITTALS WILL BE ACCEPTED MON – FRI BETWEEN 8:30 A.M. & 4:30 P.M. Payment methods accepted: Cash or Check only Rec’d By: ________________ Addendum Fee: $________________ Receipt No: ______________ ADDENDUM APPLICATION City of Atascadero 6500 Palma Avenue, Atascadero, CA 93422 (805) 461-5035 (805) 461-7612 FAX permitcenter@atascadero.org ADDENDUM NUMBER 202__ - _______ - ___ (DATE STAMP RECEIVED) . Project Address:________________________________________________________________________________ Addendum Description: _____________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________  Mechanical  Electrical  Plumbing Residential: _________ Commercial: __________ Ret Wall: __________ New Sq Ft New Sq Ft Sq Ft OWNER: ADDRESS: CITY: STATE: ZIP: PHONE #: FAX#: E-MAIL: APPLICANT: Owner - Tenant - Contractor: (circle one) IF CONTRACTOR: CSLB #: CLASS: CITY BUSINESS LIC. #: ADDRESS: CITY: STATE: ZIP: PHONE #: FAX#: E-MAIL: PROJECT CONTACT: ADDRESS: CITY: STATE: ZIP: PHONE #: FAX#: E-MAIL: ____________________________________________________ ____________________________ OWNER OR CONTRACTOR SIGNATURE DATE T:\FORMS\BUILDING\~ PERMIT APPLICATIONS\AddendumApp.doc REV Jan-20