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ARCHITECT OR ENGINEER OF RECORD NAME BUS# MAILING ADDRESS PRIME CONTRACTOR/BUILDER NAME BUS# MAILING ADDRESS PROJECT COST ESTIMATE (CONSTRUCTION) $ AS 0c8O ANY CONSTRUCTION WITH TRUSSES, PRE-ENGINEERED WOOD, AND TIMBER CONSTRUCTION MUST FILL-OUT ATTACHED FORM OConstruct OAddition OAlter OMove ODemolish OSingle Family Dwelling UOTwo Family Dwelling OMultiple Dwelling [Private Garage OStorage Shed OOther (describe) Dimensions of Completed Project oy Feet Wide 32 Feet Long 4 Feet High we “ wf “a OR. IO,